Healthcare Provider Details

I. General information

NPI: 1457287435
Provider Name (Legal Business Name): SH MASSAGE AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8890 W ANGEL DR
WASILLA AK
99623-4135
US

IV. Provider business mailing address

PO BOX 298663
WASILLA AK
99629-8663
US

V. Phone/Fax

Practice location:
  • Phone: 907-231-0390
  • Fax:
Mailing address:
  • Phone:
  • 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: STEPHANIE HAMILTON
Title or Position: OWNER
Credential:
Phone: 907-231-0390