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EXCLUSIVELY INCUSIVE LLC NPI 1366076119


NPI Information

NPI: 1366076119
Provider Name: EXCLUSIVELY INCUSIVE LLC
Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
751 OLD RICHARDSON HWY STE 101
FAIRBANKS, AK
ZIP 99701
Phone: (907) 251-1331
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EXCLUSIVELY INCUSIVE LLC is a massage therapist in Fairbanks, AK. The provider is 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. EXCLUSIVELY INCUSIVE LLC NPI is 1366076119. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

751 OLD RICHARDSON HWY STE 101
FAIRBANKS, AK
ZIP 99701-802
Phone: (907) 251-1331
Fax: (855) 414-4818

The provider's authorized official is Cean Whitmarsh .
The authorized official title is Partner and has the following contact phone number (907) 251-0055.

The enumeration date for this NPI number is 3/2/2020 and was last updated on 3/2/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225700000XMassage TherapistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11053769612OTHERNPPES
21972160653OTHERNPPES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.