NPI 1467775098
Kimberly Kay Bush, PTA
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
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.