| Doctor Name: | DR. JADE WALTER EKLE |
| NPI Number: | 1467499855 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.T. |
| License Number: | 2028 |
| Business Practice Address: | 11421 Old Glenn Hwy Eagle River, AK - 995777729 |
| Business Phone Number: | 9076942273 |
| Business Fax Number: | 9076942289 |
| Mailing Address: | 3130 E Dannys Ave, WASILLA |
| State: | AK |
| Postal Code: | 996548326 |
| Phone Number: | 9072507295 |
| Fax Number: | 9076313032 |
| NPI Enumeration Date: | 06/02/2006 |
| NPI Last Update Date: | 06/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2028 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |