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
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
08/12/2011
Last updated
02/04/2025
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