Organization
LIFE SPROUT CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDRA F SWENSON DC (OWNER/CHIROPRACTOR)
(907) 451-7000
Entity
Organization
Contact information
Practice address
912 BARNETTE ST, FAIRBANKS, AK 99701-4510
(907) 451-7000
(907) 891-7297
Mailing address
505 ILLINOIS ST STE 4, FAIRBANKS, AK 99701-2946
(907) 451-7000
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
568
AK
Other
Enumeration date
07/16/2013
Last updated
10/04/2018
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