Organization · NPI-2

Anodyne Pain & Wellness Of Anchorage LLC

Physical Medicine & Rehabilitation · Anchorage, AK

NPI number1790323632

StatusActive

Last updated in NPPESFeb 22, 2021

Details

NPI: 1790323632
Entity type: Organization (NPI-2)
Legal business name: Anodyne Pain & Wellness Of Anchorage LLC
Organization subpart: No
Enumeration date: Dec 11, 2019
Certification date: Feb 22, 2021
Last updated: Feb 22, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208100000X	Physical Medicine & Rehabilitation	–	–	Yes
111N00000X	Chiropractor	–	–
208VP0000X		–	–
225100000X	Physical Therapist	–	–
225700000X	Massage Therapist	–	–
363L00000X	Nurse Practitioner	–	–

Practice location

500 E Benson Blvd Ste 103
Anchorage, AK 99503-4148

Phone 907-561-4474

Mailing address

500 E Benson Blvd Ste 103
Anchorage, AK 99503-4148

Phone 907-561-4474

Authorized official

Judd Wattenbarger
Owner
3039951622

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