Sports Injury Chiropractic
Chiropractor in Wasilla, AK. Organization (NPI-2).
NPI number1639780596
StatusActive
Last updated in NPPESMay 12, 2023
Details
- NPI
- 1639780596
- Entity type
- Organization (NPI-2)
- Legal business name
- Sports Injury Chiropractic
- Organization subpart
- No
- Enumeration date
- Aug 13, 2020
- Certification date
- May 12, 2023
- Last updated
- May 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | – | – | Yes |
| 225700000X | Massage Therapist | – | – |
Other names
- Sports, Personal Injury And Chiropractic Consulting LLC (Other Name)
Practice location
1700 E Bogard Rd Ste A200Wasilla, AK 99654-6569
Phone 907-726-3668
Mailing address
125 N Willow St Ste BKenai, AK 99611-7702
Phone 907-726-3668
Authorized official
Richard Woolley
Owner
9077263668
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All 62 Chiropractor providers in Wasilla · All 3,076 providers in Wasilla
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