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General NPI Number Information
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NPI Number | 1053224550
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Entity Type | Organization
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Legal Business Name | INNATE WELLNESS & MASSAGE LLC
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Dates
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Enumeration Date | 09/24/2026
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Last Update Date | 09/24/2026
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Provider Practice Location Address
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Address Line | 851 E WESTPOINT DR STE B10-A
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City | WASILLA
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State | AK
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Zip | 99654-7191
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Country | US
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Telephone | 907-982-4565
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Fax |
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Provider Business Mailing Address
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Address Line | 17152 W PARKS HWY
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City | HOUSTON
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State | AK
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Zip | 99694-9800
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Country | US
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Telephone | 907-982-4565
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Fax |
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Authorized Official
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Title or Position | MASSAGE THERAPIST
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Name | CHARITY ROSE MOLNAR
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Credential | LMT
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Telephone | 907-982-4565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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