Organization
LARSON CHIROPRACTIC, LLC
Active
Parent organization
SPINE AND SPORTS INJURY CENTER, LLC
Other names
Larson Chiropractic
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPINE AND SPORTS INJURY CENTER, LLC
Authorized official
DR. KRISTOFER D LARSON D.C. (ORGANIZER)
(907) 376-2225
Entity
Organization
Contact information
Practice address
1001 E BOGARD RD, WASILLA, AK 99654-7114
(907) 376-2225
(907) 376-9225
Mailing address
1001 E BOGARD RD, WASILLA, AK 99654-7114
(907) 376-2225
(907) 376-9225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
435
AK
111NS0005X
Sports Physician Chiropractor
Primary
435
AK
Other
Enumeration date
08/24/2011
Last updated
12/21/2020
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