Arctic Chiropractic And Physical Medicine Ketchikan
Chiropractor in Ketchikan, AK. Organization (NPI-2).
NPI number1023463577
StatusActive
Last updated in NPPESMay 24, 2016
Details
- NPI
- 1023463577
- Entity type
- Organization (NPI-2)
- Legal business name
- Arctic Chiropractic And Physical Medicine Ketchikan
- Organization subpart
- No
- Enumeration date
- May 3, 2016
- Last updated
- May 24, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 468 | AK | Yes |
| 225100000X | Physical Therapist | 104600 | AK |
Practice location
2050 Sea Level DrSuite 106
Ketchikan, AK 99901-6058
Phone 907-790-3371 · Fax 907-790-2102
Mailing address
2243 Jordan AveJuneau, AK 99801-8050
Phone 907-790-3371 · Fax 907-790-2102
Authorized official
James Chavis
Owner
9078889032
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