Organization
SPORTS & SPINAL INJURY CLINIC,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW K HUETTL DC (MEMBER)
(907) 522-3511
Entity
Organization
Contact information
Practice address
6634 LAKE OTIS PKWY A, ANCHORAGE, AK 99507
(907) 522-3511
(907) 522-8551
Mailing address
6634 LAKE OTIS PKWY A, ANCHORAGE, AK 99507
(907) 522-3511
(907) 522-8551
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
328
TX
Other
Enumeration date
12/11/2009
Last updated
12/11/2009
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