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Organization
SPINE AND SPORTS INJURY CENTER, LLC
Active
Organization
SPINE AND SPORTS INJURY CENTER, LLC
Active
Other names
Complete Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTOFER D LARSON D.C. (MANAGING MEMBER)
(907) 376-2225
Entity
Organization
Contact information
Practice address
1001 E BOGARD RD, WASILLA, AK 99654-7114
(907) 376-2225
(907) 376-9225
Mailing address
1001 E BOGARD RD, WASILLA, AK 99654-7114
(907) 376-2225
(907) 376-9225
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
435
AK
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
Other
Enumeration date
08/12/2011
Last updated
02/04/2025
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