Mrs Jeanette Stack, LMP - Massage Therapist in Wasilla, AK

Mrs Jeanette Stack, LMP is a Massage Therapist based in Wasilla, Alaska. Mrs Jeanette Stack is licensed to practice in Alaska (license number 101955) and her current practice location is 984 N Meridian Pl Ste A, Wasilla, Alaska. She can be reached at her office (for appointments etc.) via phone at (907) 631-4029.

NPI number for Mrs Jeanette Stack is 1548407497 and her current mailing address is 24712 Teal Loop, Chugiak, Alaska. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548407497.

Contact Information

Mrs Jeanette Stack, LMP
984 N Meridian Pl Ste A,
Wasilla, AK 99654-7215
(907) 631-4029
(907) 631-4128

Map and Direction




Healthcare Provider's Profile

Full NameMrs Jeanette Stack
GenderFemale
SpecialityMassage Therapist
Location984 N Meridian Pl Ste A, Wasilla, Alaska
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1548407497
  • Provider Enumeration Date: 01/14/2009
  • Last Update Date: 10/24/2018

Medical Identifiers

Medical identifiers for Mrs Jeanette Stack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548407497NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225700000XMassage Therapist MA 00014238 (Washington)Secondary
225700000XMassage Therapist 101955 (Alaska)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jeanette Stack is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Jeanette Stack, LMP
24712 Teal Loop,
Chugiak, AK 99567-5114

Ph: (907) 351-7191
Mrs Jeanette Stack, LMP
984 N Meridian Pl Ste A,
Wasilla, AK 99654-7215

Ph: (907) 631-4029

Reviews and Comments


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