Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1548407497 Individual Practitioner Female Practitioner

Jeanette Stack , LMP

Massage Therapist • Wasilla, AK

Professional Overview & Biography Verified Profile Summary

Jeanette Stack, LMP is a registered healthcare professional specializing in Massage Therapist in Wasilla, AK. Practice services are available at 984 N MERIDIAN PL STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

984 N Meridian Pl Ste A

Wasilla, AK 996547215

Telephone 9076314029
Fax 9076314128
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Wasilla, AK

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

Practicing in Wasilla, 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

Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License AK 101955

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.

Massage Therapist

NUCC Taxonomy Code: 225700000X

State License WA MA 00014238

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.

Secondary Practice Locations

12205 Vista Ridge Loop

Eagle River, AK 995777047

Phone: 9073517191

Practice Associates & Co-Workers

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

8 Associated Practitioners
NPI 1003971037

Physical Therapist, SCD, Orthopedic Clinical Specialist, FAAOMP

Dr. Ashley Granath , DPT

Physical Medicine & Rehabilitation

NPI 1023622370

Doctor of Physical Therapy

NPI 1033969803

Doctor of Physical Therapy, Physical Therapist

Michelle Warner , OT

Occupational Therapist

NPI 1396221826

Occupational Therapist

Madeline Von Holle

Specialist/Technologist - Athletic Trainer

NPI 1790393015
Dr. Laura Tuttle , DPT

Physical Therapist

NPI 1902427636

Doctor of Physical Therapy

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location October 24, 2018

Registered at 984 N MERIDIAN PL STE A, WASILLA, AK 996547215 (Tel: 9076314029)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2018

Massage Therapist (License #101955 in AK)

NPI Profile Active January 14, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location January 14, 2009

Registered at 10421 VFW RD STE 101, EAGLE RIVER, AK 995778075 (Tel: 9073517191)

📍
Updated Business Mailing Address January 14, 2009

Registered at 24712 TEAL LOOP, CHUGIAK, AK 995675114 (Tel: 9073517191)

👤
Provider Name / Credentials Updated January 14, 2009

Recorded as JEANETTE STACK, LMP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2009

Massage Therapist (License #MA 00014238 in WA)

🟢
Initial NPI Registration & Enumeration January 14, 2009

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: 1548407497
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 14, 2009
Last Update: October 24, 2018
Sole Proprietor: Yes

Mailing Address

24712 Teal Loop

Chugiak, AK 995675114

Phone: 9073517191

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.