Individual
NICHOLAS CHRISTIAN EISENMENGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
650 N SHORELINE DR STE 101, WASILLA, AK 99654-6677
(907) 376-6363
(907) 376-6366
Mailing address
650 N SHORELINE DR STE 101, WASILLA, AK 99654-6677
(907) 376-6363
(907) 376-6366
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
146656
AK
225100000X
Physical Therapist
—
—
Other
Enumeration date
05/16/2018
Last updated
11/19/2019
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