Individual
HAYDEN MATTHEW NIEKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1700 E BOGARD RD STE B203, WASILLA, AK 99654-6570
(907) 921-5088
Mailing address
15071 E OUTER SPRINGER LOOP, PALMER, AK 99645-9048
(907) 631-8542
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
179258
AK
Other
Enumeration date
07/23/2021
Last updated
04/25/2025
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