Healthcare Provider Details

I. General information

NPI: 1194686832
Provider Name (Legal Business Name): MARY ELIZABETH ASHER L.M.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/21/2025
Last Update Date: 11/21/2025
Certification Date: 11/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26930 SOUTH FOREST ROAD
TALKEETNA AK
99676
US

IV. Provider business mailing address

PO BOX 1072
TALKEETNA AK
99676-1072
US

V. Phone/Fax

Practice location:
  • Phone: 907-203-2231
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number245177
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: