| Organization Name: | ALASKA AQUATIC THERAPY INC. |
| NPI Number: | 1932244068 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATHERINE GARDNER (PRESIDENT) |
| Mailing Address: | Mile 23.4 Spur Hwy Poolside Ave Nikiski |
| State: | AK US |
| Postal Code: | 99635 |
| Phone Number: | 9072837946 |
| Fax Number: | |
| NPI Enumeration Date: | 02/20/2007 |
| NPI Last Update Date: | 10/18/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225400000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Rehabilitation Practitioner |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |