Individual
KEANNA GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3765 E BLUE LUPINE DR STE E, WASILLA, AK 99654-8417
(907) 373-9462
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
221560
AK
Other
Enumeration date
04/22/2015
Last updated
07/08/2025
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