MEDICARE: ALEXANDREA DENNISON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1063360220
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDREA DENNISON

Provider Business Mailing Address
First Line	:	4931 E MAYFLOWER LN STE 1
Second Line	:
City	:	WASILLA
State	:	AK
Zip	:	99654-7759
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	432 S ALASKA ST STE 1-A
Second Line	:
City	:	PALMER
State	:	AK
Zip	:	99645-6338
Country	:	US
Telephone Number	:	907-746-7836
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2026
Last Update Date	:	03/21/2026

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Directions to “ ALEXANDREA DENNISON ” Practice Location

Language	Start Address	Practice Location

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