NPI 1306108543

Jaded Body Wellness & Spine Institute, LLC

Organisation Physical Therapist Wasilla, AK

Practice location

Address: 645 N Jessica Brooke Circle STE C, Wasilla, AK 99654-7333
Phone: (907) 631-0600
Fax: (907) 631-3032
Mailing address: 645 N Jessica Brooke Circle, STE C STE C, Wasilla, AK 99654-7333

Authorised official

Name: Caprice Carter
Title: Billing
Phone: (907) 631-0600

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 2028 (AK)

Other Physical Therapist providers in Alaska →

Registry record

NPI: 1306108543
Entity type: Organization
NPI issued: 13 Jun 2012
Record last updated: 28 Oct 2024

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.