Individual provider · NPI-1

Crystal Marie Daniken, PTA

Physical Medicine & Rehabilitation · Anchorage, AK

NPI number1437860459
StatusActive
Last updated in NPPESDec 9, 2022

Details

NPI
1437860459
Entity type
Individual (NPI-1)
Name
Crystal Marie Daniken
Credential
PTA
Sex
Female
Sole proprietor
No
Enumeration date
Dec 9, 2022
Certification date
Dec 9, 2022
Last updated
Dec 9, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208100000X Physical Medicine & Rehabilitation199308AKYes

Practice location

9100 Centennial Cir
Anchorage, AK 99504-1480

Phone 907-333-8100

Mailing address

16439 Mills Park Cir
Eagle River, AK 99577-6718

Phone 618-973-7657

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