OrganizationGlacier Salt Cave And SpaMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address917 Glacier Ave Ste 101, Juneau, AK 99801-1883(907) 723-9491PECOS EnrollmentBased on the most recent information from CMS, provider Glacier Salt Cave And Spa does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1215442611Provider TypeOrganizationFull NameGlacier Salt Cave And SpaSubpartNoEnumeration Date12/6/2017Last Updated6/16/2018Contact InformationPractice LocationPractice Address917 Glacier Ave Ste 101, Juneau, AK 99801-1883Phone(907) 723-9491FaxUnlisted FaxMailing LocationMailing Address917 Glacier Ave Ste 101, Juneau, AK 99801-1883Phone(907) 723-9491FaxUnlisted FaxAuthorized OfficialNameStevens, Russell Lyle (Owner)Phone(907) 723-9491Provider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense1016699Alaska