Healthcare Provider Details

I. General information

NPI: 1396408324
Provider Name (Legal Business Name): AALIYAH NOELLE CARUSO LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AALIYAH NOELLE CARUSO-DONN

II. Dates (important events)

Enumeration Date: 10/17/2021
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 W SWANSON AVE
WASILLA AK
99654-6825
US

IV. Provider business mailing address

PO BOX 877816
WASILLA AK
99687-7816
US

V. Phone/Fax

Practice location:
  • Phone: 907-414-1730
  • Fax:
Mailing address:
  • Phone: 907-841-3725
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number253165
License Number StateAK
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number181179
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: