Healthcare Provider Details

I. General information

NPI: 1093624041
Provider Name (Legal Business Name): DANTE JAMAR SAVAGE LMT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1175 N LEATHERLEAF LOOP STE F
WASILLA AK
99654-6527
US

IV. Provider business mailing address

2720 E MARIANNS PL
WASILLA AK
99654-7326
US

V. Phone/Fax

Practice location:
  • Phone: 907-373-7546
  • Fax:
Mailing address:
  • Phone: 907-521-6736
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number259079
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: