MEDICARE: MRS. JILL KRISTIN HAYDEN LMT

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	69798	FL
2	225700000X	Massage Therapist	4507	CO
3	225700000X	Massage Therapist	109366	AK

General Provider Information

NPI Number	:	1598997769
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JILL KRISTIN HAYDEN LMT

Provider Business Mailing Address
First Line	:	5901 E 6TH AVE SPC 230
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99504-4866
Country	:	US
Telephone Number	:	907-406-7962
Fax Number	:

Provider Business Practice Location Address
First Line	:	3600 LAKE OTIS PKWY STE 101
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99508-5225
Country	:	US
Telephone Number	:	907-406-7962
Fax Number	:

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

Provider Enumeration Date	:	08/20/2009
Last Update Date	:	10/02/2025

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