Whalio Doctors

NPI 1467775098

Kimberly Kay Bush, PTA

Practitioner Physical Therapy Assistant Wasilla, AK

Practice location

Address
650 N Shoreline Dr STE 101, Wasilla, AK 99654-6677
Phone
(907) 376-6363
Fax
(907) 376-6366

Registered specialties

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 678 (AK)

Registry record

NPI
1467775098
Entity type
Individual
Sex (as registered)
Female
NPI issued
10 Mar 2010
Record last updated
10 Mar 2010

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.