# HEALTHWISE BACK, NECK, AND EXTREMITY CARE CENTER, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871904771
- **Authorized official:** STACY YOUNG D.C. (BUSINESS OWNER)
- **Authorized official phone:** (907) 694-2273

## Contact information

- **Practice address:** 11421 OLD GLENN HWY, STE 101, EAGLE RIVER, AK 99577-7729
- **Practice address phone:** (907) 694-2273
- **Mailing address:** 11421 OLD GLENN HWY, STE 101, EAGLE RIVER, AK 99577-7729
- **Mailing address phone:** (907) 694-2273

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 315 | AK | Yes |
| 111N00000X | Chiropractor | 587 | AK | — |

## Other

- **Enumeration date:** 05/13/2014
- **Last updated:** 05/13/2014