Organization
BACK IN ACTION PHYSICAL THERAPY, LLC
Active
Parent organization
SPINE AND SPORTS INJURY CENTER, LLC
Other names
Back In Action
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPINE AND SPORTS INJURY CENTER, LLC
Authorized official
DR. KRISTOFER D LARSON D.C. (ORGANIZER)
(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) 372-7246
(907) 376-9225
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1683033
—
AK
Enumeration date
08/23/2011
Last updated
12/29/2025
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