| Organization Name: | ALASKA INNOVATIVE MEDICINE, INC. |
| NPI Number: | 1780065227 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KRISTI DAVIS (ADMINISTRATOR) |
| Mailing Address: | 4300 B St Ste 200 Anchorage |
| State: | AK US |
| Postal Code: | 995035933 |
| Phone Number: | 9072298777 |
| Fax Number: | |
| NPI Enumeration Date: | 06/10/2015 |
| NPI Last Update Date: | 06/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | DTND156 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AK |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |