Organization
NISMA THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANNA BATES (OWNER)
(907) 415-9331
Entity
Organization
Contact information
Practice address
1231 NOBLE ST, FAIRBANKS, AK 99701-4926
(907) 415-9331
(907) 600-5065
Mailing address
PO BOX 72481, FAIRBANKS, AK 99707-2481
(907) 415-9331
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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