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MRS. JEANETTE STACK LMP
NPI 1548407497
Massage Therapist in Wasilla, AK

Active since January 14, 2009
984 N MERIDIAN PL STE A, WASILLA, AK 99654(907) 631-4029(907) 631-4128 Get Directions Write a Review

NPPES record last updated: October 24, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mrs. Jeanette Stack Lmp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JEANETTE STACK LMP (NPI 1548407497) is an individual massage therapist in Wasilla, Alaska, licensed in Alaska (101955) and active in the NPI registry since January 2009. She maintains a secondary practice location in Eagle River.

NPPES Registry Identity

NPI1548407497
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMRS. JEANETTE STACKCredential: LMP
Location Address984 N MERIDIAN PL STE AWasilla, AK 99654-7215
Mailing Address24712 Teal LoopChugiak, AK 99567-5114 · (907) 351-7191 · Fax (907) 622-4001
Phone(907) 631-4029
Fax(907) 631-4128
Sole ProprietorYes
Enumeration DateJanuary 14, 2009
Last NPPES UpdateOctober 24, 2018
✔ NPI 1548407497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
Licenses✔ Licensed in AK · 101955✔ Licensed in WA · MA 00014238
Definition
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.
984 N MERIDIAN PL STE A, Wasilla, AK 99654
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Secondary Practice Location 1

Location 112205 Vista Ridge LoopEagle River, AK 99577-7047 · Phone (907) 351-7191

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTHERN EDGE PHYSICAL THERAPY LLC
Clinic/Center (Physical Therapy)
984 N MERIDIAN PL STE A
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-4029
BENJAMIN ALDEN COCKFIELD DPT, PT
Physical Therapist
984 N MERIDIAN PL STE A
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-4029

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeanette Stack's NPI number?

The NPI number for Jeanette Stack is 1548407497. It was assigned to this individual provider in the NPPES registry on January 14, 2009.

Where is Jeanette Stack located?

Jeanette Stack practices at 984 N Meridian Pl Ste A, Wasilla, AK 99654. The listed phone number is (907) 631-4029.

What is Jeanette Stack's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Jeanette Stack was last updated on October 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.