Individual
MR. AUDIE PADRONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, MHS
Contact information
Practice address
3190 E MERIDIAN PARK LOOP STE 207, WASILLA, AK 99654-7422
(907) 373-9460
Mailing address
3190 E MERIDIAN PARK LOOP STE 207, WASILLA, AK 99654-7422
(907) 373-9460
(907) 373-9461
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
01506
MO
225100000X
Physical Therapist
Primary
218371
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120210
GROUP # FOR BC/BS
MO
01
—
1873945
GROUP # FOR FIRST HEALTH
MO
01
—
410490
GROUP # FOR HEALTHLINK
MO
05
—
483897104
—
MO
Enumeration date
05/04/2006
Last updated
12/17/2024
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