NPI 1609421502
Fortitude, INC
Practice location
- Address
- 43900 Kenai Spur Hwy Unit C, Kenai, AK 99611-9708
- Phone
- (907) 283-3340
- Fax
- (907) 283-3349
- Mailing address
- 49066 Heights Ln, Kenai, AK 99611-6112
Authorised official
- Name
- Donald Taylor Smith Staton
- Title
- President
- Phone
- (907) 283-3340
Registered specialties
Physical Therapist
Primary
Registry record
- NPI
- 1609421502
- Entity type
- Organization
- NPI issued
- 7 Aug 2019
- Record last updated
- 27 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.