Individual
JOHN WILLIAM WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1200 AIRPORT HEIGHTS DR STE 170, ANCHORAGE, AK 99508-2986
(907) 562-2118
(907) 562-2128
Mailing address
1200 AIRPORT HEIGHTS DR STE 170, ANCHORAGE, AK 99508-2986
(907) 562-2118
(907) 562-2128
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PHYP1462
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MPG0067
—
AK
05
—
PT48521
—
AK
Enumeration date
10/26/2006
Last updated
12/23/2022
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