KENNETH BLACKWELL LMT NPI 1891204400

NPI Information

  • NPI: 1891204400
  • Provider Name: KENNETH BLACKWELL, LMT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 3310 ARCTIC BLVD STE 102
    ANCHORAGE, AK
    ZIP 99503
  • Phone: (907) 297-8679

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NPI Details

Kenneth Blackwell, LMT is a massage therapist in Anchorage, 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. Kenneth Blackwell, LMT NPI is 1891204400. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3310 ARCTIC BLVD STE 102
ANCHORAGE, AK
ZIP 99503-576
Phone: (907) 297-8679

The enumeration date for this NPI number is 9/26/2017 and was last updated on 6/16/2018.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage Therapist101917ALASKAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1101917OTHERALASKAMASSAGE LICENSE

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: 11/21/2025

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