NPI 1003971037
Keith Poorbaugh, PTSCDOCSFAAOMP
Practice location
- Address
- 984 N Meridian Pl # a, Wasilla, AK 99654-7215
- Phone
- (907) 631-4029
- Fax
- (907) 631-4128
- Mailing address
- 984 North Meridian Pl A, Wasilla, AK 99654-7215
Registered specialties
Physical Therapist
Primary
Registry record
- NPI
- 1003971037
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 27 Dec 2006
- Record last updated
- 21 Jul 2022
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.