NPI 1053690677
Spine and Sports Injury Center, LLC
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
Sports Physician Chiropractor
Physical Therapist
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.