=====================================================
General NPI Number Information
=====================================================
NPI Number | 1962357590
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ROOTED NORTH BODYWORKS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/27/2026
-----------------------------------------------------
Last Update Date | 02/27/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4003 MINNESOTA DR APT 47
-----------------------------------------------------
City | ANCHORAGE
-----------------------------------------------------
State | AK
-----------------------------------------------------
Zip | 99503-6461
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 907-350-9755
-----------------------------------------------------
Fax | 907-917-2116
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4003 MINNESOTA DR APT 47
-----------------------------------------------------
City | ANCHORAGE
-----------------------------------------------------
State | AK
-----------------------------------------------------
Zip | 99503-6461
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 907-350-9755
-----------------------------------------------------
Fax | 907-917-2116
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | ALLIE EPKE
-----------------------------------------------------
Credential | LMT/CLT
-----------------------------------------------------
Telephone | 907-350-9755
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225700000X
-----------------------------------------------------
Taxonomy Name | Massage Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------