Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eagle River Therapeutic Massage LLC

Organization Massage Therapist · NPI 1689969966

Eagle River Therapeutic Massage LLC is a Massage Therapist in Eagle River, Alaska. Licensed in Washington. Registered with an NPI since 2011.

Licensed in
WA
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10421 Vfw Rd Ste 101
Eagle River, AK 99577-8032
Phone: (907) 351-7191
Fax: (907) 622-4001
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MA00014238 (WA)

Record details

NPI number1689969966
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeanette Stack — Owner/Member · (907) 351-7191
Other names Ertm Eagle River Therapeutic Massage
NPI enumeratedJune 14, 2011
Last updated in NPPESJune 14, 2011
Mailing address24712 Teal Loop, Chugiak, AK 99567-5114

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