Organization
ANODYNE PAIN & WELLNESS OF ANCHORAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDD WATTENBARGER (OWNER)
(303) 995-1622
Entity
Organization
Contact information
Practice address
500 E BENSON BLVD STE 103, ANCHORAGE, AK 99503-4148
(907) 561-4474
Mailing address
500 E BENSON BLVD STE 103, ANCHORAGE, AK 99503-4148
(907) 561-4474
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
225100000X
Physical Therapist
—
—
225700000X
Massage Therapist
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
12/11/2019
Last updated
02/22/2021
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