Whalio Doctors

NPI 1124497540

Ideal Motion Physical Therapy LLC

Organisation Physical Therapy Clinic/Center Eagle River, AK

Practice location

Address
12551 Old Glenn Hwy STE E, Eagle River, AK 99577-7590
Phone
(907) 694-5515
Fax
(907) 694-5575

Authorised official

Name
Chris Wilson
Title
Owner
Phone
(907) 694-5515

Registered specialties

Physical Therapy Clinic/Center Primary
Ambulatory Health Care Facilities Taxonomy 261QP2000X Licence 1021707 (AK)

Registry record

NPI
1124497540
Entity type
Organization
NPI issued
15 Sep 2015
Record last updated
22 Jan 2020

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.