SPA KETCHIKAN LLC
NPI 1619849361
Massage Therapist in Ketchikan, AK

Active since September 22, 2025
97 EICHNER AVE, KETCHIKAN, AK 99901(907) 225-4772 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Spa Ketchikan Llc NPPES

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

SPA KETCHIKAN LLC (NPI 1619849361) is a healthcare organization registered as a massage therapist in Ketchikan, Alaska and active in the NPI registry since September 2025. The organization lists Katharine Kazuko Davison, Owner, as its authorized official.

NPPES Registry Identity

NPI1619849361
Entity TypeOrganization
Primary Taxonomy225700000X
Legal Business NameSPA KETCHIKAN LLC
Location Address97 EICHNER AVEKetchikan, AK 99901-9033
Mailing Address97 Eichner AveKetchikan, AK 99901-9033 · (907) 225-4772
Organization SubpartNo
Authorized OfficialKatharine Kazuko DavisonOwner · (907) 254-5284
Enumeration DateSeptember 22, 2025
NPPES CertifiedSeptember 22, 2025
✔ NPI 1619849361 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
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.
97 EICHNER AVE, Ketchikan, AK 99901

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

Massage Therapist
97 EICHNER AVE
KETCHIKAN, AK 99901
Dietitian, Registered
97 EICHNER AVE
KETCHIKAN, AK 99901

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 Spa Ketchikan LLC's NPI number?

The NPI number for Spa Ketchikan LLC is 1619849361. It was assigned to this organization in the NPPES registry on September 22, 2025.

Where is Spa Ketchikan LLC located?

Spa Ketchikan LLC is located at 97 Eichner Ave, Ketchikan, AK 99901. The listed phone number is (907) 225-4772.

What is Spa Ketchikan LLC'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 Spa Ketchikan LLC was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.