NPI 1124544523
Tina McCluskey
Practice location
- Address
- 19205 E Future Rd, Talkeetna, AK 99676
- Phone
- (907) 354-3441
- Mailing address
- PO Box 735, Willow, AK 99688-0735
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1124544523
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 17 Aug 2017
- Record last updated
- 17 Aug 2017
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.