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Ms. Evelyn Therese Bass, LMT,MED
Massage Therapist in Juneau, Alaska
NPI 1851760813

Evelyn Therese Bass is a Massage Therapist based in Juneau, AK. Evelyn Therese Bass practices in Juneau, AK and has the professional credentials of LMT,MED. The NPI Number for Evelyn Therese Bass is 1851760813 and holds a License No. (Alaska).

The current practice location address for Evelyn Therese Bass is 174 S Franklin St Ste 211, Juneau, AK and can be reached out via phone at 907-957-6459. You can also correspond with Evelyn Therese Bass through the mailing address at 2967 NOWELL AVE, JUNEAU, AK - 99801-1952 (mailing address contact number: 907-957-6459).

Location: 174 S Franklin St Ste 211, Juneau, AK, 99801-1952
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851760813
Provider Name
Evelyn Therese Bass
Credential
LMT,MED
Provider Entity Type
Individual
Gender
Female
Address
174 S Franklin St Ste 211, Juneau, AK, 99801-1952
Phone Number
907-957-6459
Fax Number
Provider Enumeration Date
09/21/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1912475260 01 EMPLOYER/SUPERVISOR'S NPI
institution
Provider Business Practice Location Address Details
Address
174 S Franklin St Ste 211
City
Juneau
State
Alaska
Zip
99801-1362
Phone Number
907-957-6459
Fax Number
person
Provider Business Mailing Address Details
Address
174 S Franklin St Ste 211
City
Juneau
State
Alaska
Zip
99801-1362
Phone Number
907-957-6459
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
101363 (Alaska)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
()
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Alaska)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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