MISS MICHELLE DENISE REISINGER LMT, NPI 1801091277 — ANCHORAGE (AK)

NPI 1801091277

12+ Years Experience Individual

MISS MICHELLE DENISE REISINGER LMT

06/18/2007
PROVIDER ENUMERATION DATE
04.12.2019
LAST UPDATE DATE
1801091277
NPI NUMBER

About MISS MICHELLE DENISE REISINGER

Sole proprietor? Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor.

MISS MICHELLE DENISE REISINGER is a provider established in ANCHORAGE, AK. The NPI number of MISS MICHELLE DENISE REISINGER is 1801091277 and was assigned on 06/18/2007. The practitioners primary taxonomy code is: 225700000X with license number: 127526 AK .

Mailing address

  • City: ANCHORAGE
  • State: AK
  • Postal code: 995014577
  • Phone: 9316244333
  • Address: 1020 W 12TH AVE # 173

Primary Practice Address

  • Region : ANCHORAGE, AK
  • NPI : 1801091277
  • Phone : 9316244333
  • Postalcode : 995014577
  • Address : 1020 W 12TH AVE # 173

Additional identifiers

  • Identifier: 127526
  • Code / Type : 1 - other
  • Identifier state : AK
  • Identifier issuer: LMT

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Provider taxonomy - Massage Therapist

  • Taxonomy code: 225700000X
  • License number: 127526
  • License state: AK

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy group: 193400000X SINGLE SPECIALTY GROUP.

Taxonomy description: 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.

Contacts:

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  • MISS MICHELLE DENISE REISINGER LMT
  • Address : 1020 W 12TH AVE # 173
  • Region : ANCHORAGE, AK
  • NPI : 1801091277
  • Phone : 9316244333
  • Postalcode : 995014577

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address1020 W 12TH AVE # 173
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameANCHORAGE
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameAK
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code995014577
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number9316244333
The telephone number associated with the location address of the provider being identified.
NPI1801091277
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1225700000X
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.
Provider Enumeration Date06/18/2007
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated04.12.2019
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)MISS MICHELLE DENISE REISINGER
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address1020 W 12TH AVE # 173
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameANCHORAGE
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameAK
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code995014577
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number9316244333
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Healthcare Provider Taxonomy Code #1225700000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Massage Therapist
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.
Provider License Number 1127526
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1AK
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Other Provider Identifier 1127526
Other Provider Identifier #1
Other Provider Identifier Type 11
  • 1 - Other
  • 5 - MEDICAID
Other Provider Identifier State 1AK
Other Provider Identifier State #1
Other Provider Identifier Issuer 1LMT
Other Provider Identifier Issuer #1
Provider Gender CodeF
  • M - male
  • F - female
Is sole proprietorY
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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