Provider Demographics
NPI:1194569392
Name:INFINITE HEALING ARTS ALASKA
Entity type:Organization
Organization Name:INFINITE HEALING ARTS ALASKA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:ZOEY
Authorized Official - Middle Name:
Authorized Official - Last Name:CONNER
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:907-371-8860
Mailing Address - Street 1:2640 KUSKOKWIM AVE
Mailing Address - Street 2:
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99709-4820
Mailing Address - Country:US
Mailing Address - Phone:907-371-8860
Mailing Address - Fax:
Practice Address - Street 1:565 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99709-3688
Practice Address - Country:US
Practice Address - Phone:907-371-8860
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-21
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty