Organization
ALASKAN PHYSICAL THERAPY, INC
Active
Organization
ALASKAN PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL SKIDMORE-ERICKSON PT (PHYSICAL THERAPIST-OWNER/ADMINISTRA)
(907) 260-2679
Entity
Organization
Contact information
Practice address
36275 KENAI SPUR HWY, SUITE 5, SOLDOTNA, AK 99669-7106
(907) 260-2679
(907) 260-2676
Mailing address
36275 KENAI SPUR HWY, SUITE 5, SOLDOTNA, AK 99669-7106
(907) 260-2679
(907) 260-2676
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
229
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MS0754
MEDICAID-DURABLE
AK
05
—
PT0754
—
AK
Enumeration date
08/29/2006
Last updated
09/09/2010
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