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Organization
RISE DIAGNOSTICS, LLC
Active
Organization
RISE DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY BUCKLAND PT, DPT, ECS (OWNER)
(480) 205-5945
Entity
Organization
Contact information
Practice address
1981 E PALMER WASILLA HWY STE 230, WASILLA, AK 99654-7289
(907) 312-7044
(907) 312-7044
Mailing address
PO BOX 873895, WASILLA, AK 99687-3895
(907) 205-5945
(907) 205-5948
Taxonomy
Speciality
Code
Description
License number
State
2251E1300X
Clinical Electrophysiology Physical Therapist
Primary
—
NULL
2251E1300X
Clinical Electrophysiology Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
NULL
Other
Enumeration date
05/22/2016
Last updated
01/31/2025
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