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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