Organization
KETCHIKAN PHYSICAL THERAPY, LLC
Active
Organization
KETCHIKAN PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA MARIE DAVIDSHOFER PT, DPT (PHYSICAL THERAPIST)
(907) 617-2052
Entity
Organization
Contact information
Practice address
21 JEFFERSON WAY STE 202, KETCHIKAN, AK 99901-5951
(907) 617-2052
Mailing address
133 W MATTLE RD, KETCHIKAN, AK 99901-9453
(907) 617-2052
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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