NPI 1568210938
Jace Axel Olsen
Practice location
- Address
- 7610 E Palmer Wasilla Hwy, Palmer, AK 99645-8467
- Phone
- (907) 903-7779
- Mailing address
- PO Box 879388, Wasilla, AK 99687-9388
Registered specialties
Behavior Analyst
Primary
Registry record
- NPI
- 1568210938
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 9 May 2024
- Record last updated
- 9 May 2024
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.