Individual
TRACIE EAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
950 E BOGARD RD, WASILLA, AK 99654-7184
(907) 352-2915
Mailing address
2881 S TEELAND ST, WASILLA, AK 99623-9798
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
AK
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/08/2017
Last updated
09/08/2017
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