Healthcare Provider Details
I. General information
NPI: 1740193770
Provider Name (Legal Business Name): JOLEEN LEFEVER DBA CENTER OF INTRINSIC ALIGNMENT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
910 OLD STEESE HWY STE B
FAIRBANKS AK
99701-3168
US
IV. Provider business mailing address
PO BOX 58623
FAIRBANKS AK
99711-0623
US
V. Phone/Fax
- Phone: 907-328-5965
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225700000X |
| Taxonomy | Massage Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOLEEN
LEFEVER
Title or Position: OWNER
Credential: LMT
Phone: 907-328-5965