Healthcare Provider Details

I. General information

NPI: 1699686832
Provider Name (Legal Business Name): ZEN BODYWORK AND MASSAGE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2207 SPENARD RD STE 208
ANCHORAGE AK
99503-1617
US

IV. Provider business mailing address

3607 ARKANSAS DR
ANCHORAGE AK
99517-2514
US

V. Phone/Fax

Practice location:
  • Phone: 253-320-9303
  • Fax:
Mailing address:
  • Phone: 253-320-9303
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: SAMUEL JASON GUERRERO
Title or Position: OWNER
Credential:
Phone: 253-320-9303