Organization
HEALTHWISE PHYSICAL THERAPY INC
Active
Other names
Healthwise Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
GINA HERRON (OFFICE MANAGER)
(907) 622-2502
Entity
Organization
Contact information
Practice address
11421 OLD GLENN HWY, STE 100, EAGLE RIVER, AK 99577-7729
(907) 694-2273
(907) 694-2289
Mailing address
11421 OLD GLENN HWY, STE 100, EAGLE RIVER, AK 99577-7729
(907) 694-2273
(907) 694-2289
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1290
AK
225100000X
Physical Therapist
Primary
1527
AK
225100000X
Physical Therapist
337
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PT11942
—
AK
05
—
PT2491
—
AK
05
—
PT2792
—
AK
Enumeration date
07/14/2009
Last updated
01/13/2015
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