Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205507480 Individual Practitioner Female Practitioner

Sandra Lee Glidden

Massage Therapist • Homer, AK

Professional Overview & Biography Verified Profile Summary

Sandra Glidden is a registered healthcare professional specializing in Massage Therapist in Homer, AK. Practice services are available at 141 W PIONEER AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

141 W Pioneer Ave

Homer, AK 996037525

Telephone 9072357146
Fax 9072357186
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Homer, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 2.0 Yrs
Regional Practice Density
20 Specialists

Practicing in Homer, AK (1205 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-09-27
Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License AK 102493

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Akdl
0220653 (AK)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1255963526

Doctor of Chiropractic

Andrea Huyck , LMT

Massage Therapist

NPI 1386356665

Licensed Massage Therapist

James Heston

Chiropractor

NPI 1548277049

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 27, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location September 27, 2021

Registered at 141 W PIONEER AVE, HOMER, AK 996037525 (Tel: 9072357146)

📍
Updated Business Mailing Address September 27, 2021

Registered at 141 W PIONEER AVE, HOMER, AK 996037525 (Tel: 9072357146)

👤
Provider Name / Credentials Updated September 27, 2021

Recorded as SANDRA GLIDDEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2021

Massage Therapist (License #102493 in AK)

🟢
Initial NPI Registration & Enumeration September 27, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205507480
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 27, 2021
Last Update: September 27, 2021
Sole Proprietor: Yes

Mailing Address

141 W Pioneer Ave

Homer, AK 996037525

Phone: 9072357146

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.