| Doctor Name: | PROF. SHAILEY TRIPP |
| NPI Number: | 1114191509 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMT, CMT, REIKI II |
| License Number: | 314200 |
| Business Practice Address: | 5800 E Columbus Way Ste 2 & 3 Wasilla, AK - 996547895 |
| Business Phone Number: | 9073733329 |
| Business Fax Number: | |
| Mailing Address: | 305 N Valley Way, Apt E 1 PALMER |
| State: | AK |
| Postal Code: | 99645 |
| Phone Number: | 9077753235 |
| Fax Number: | |
| NPI Enumeration Date: | 04/16/2008 |
| NPI Last Update Date: | 04/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225700000X |
| License Number: | 314200 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Massage Therapist |
| Taxonomy Specialization: | |
| Taxonomy 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. |