| Organization Name: | ALASKA PHYSICAL THERAPY LLC |
| NPI Number: | 1124497540 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRIS WILSON (OWNER) |
| Mailing Address: | 12032 Business Blvd Eagle River |
| State: | AK US |
| Postal Code: | 995777725 |
| Phone Number: | 9076945515 |
| Fax Number: | 9076945575 |
| NPI Enumeration Date: | 09/15/2015 |
| NPI Last Update Date: | 09/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 1021707 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |