Whalio Doctors

NPI 1053690677

Spine and Sports Injury Center, LLC

Organisation Family Medicine Physician Wasilla, AK

Practice location

Address
1001 E Bogard Rd, Wasilla, AK 99654-7114
Phone
(907) 376-2225
Fax
(907) 376-9225

Authorised official

Name
Kristofer D Larson
Title
Managing Member
Phone
(907) 376-2225

Registered specialties (3)

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X
Sports Physician Chiropractor
Chiropractic Providers Taxonomy 111NS0005X Licence 435 (AK)
Physical Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X

Registry record

NPI
1053690677
Entity type
Organization
NPI issued
12 Aug 2011
Record last updated
4 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.