Organization
CHRISTENSEN CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARRETT WALLACE CHRISTENSEN D.C. (OWNER/MANAGER)
(907) 982-6798
Entity
Organization
Contact information
Practice address
701 S KNIK GOOSE BAY RD STE C, WASILLA, AK 99654-8084
(907) 982-6798
Mailing address
701 S KNIK GOOSE BAY RD STE C, WASILLA, AK 99654-8084
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
545
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH9032
—
AK
Enumeration date
01/28/2014
Last updated
01/28/2014
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