Individual
JOHN F. VACHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
3750 E. COUNTRY FIELD CIRCLE, #A, MERIDIAN MEDICAL PARK, WASILLA, AK 99654
(907) 376-7334
Mailing address
2250 N CLARIDGE CT, WASILLA, AK 99654-4535
(907) 745-5082
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1647
LICENSE #
AK
Enumeration date
08/30/2006
Last updated
05/05/2016
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