Organization
KPO REHABILITATION & SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS T WELLS P.T (PRESIDENT/PHYSICAL THERAPIST)
(907) 262-2596
Entity
Organization
Contact information
Practice address
130 S WILLOW ST, SUITE 1, KENAI, AK 99611-7744
(907) 262-2596
(907) 262-2765
Mailing address
221 W MARYDALE AVE, SOLDOTNA, AK 99669-7420
(907) 262-2596
(907) 262-2765
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0695
AK
Other
Enumeration date
09/13/2013
Last updated
09/13/2013
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