Organization
ALTAIR INTEGRATIVE WELLNESS
Active
Organization
ALTAIR INTEGRATIVE WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARA E WORKMAN DC DC (CEO)
(907) 357-1818
Entity
Organization
Contact information
Practice address
892 E USA CIR STE 108, WASILLA, AK 99654-7106
(907) 357-1818
(907) 357-1814
Mailing address
892 E USA CIR STE 108, WASILLA, AK 99654-7106
(907) 357-1818
(907) 357-1814
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1633093
—
AK
05
—
1636141
—
AK
05
—
1702799
—
AK
Enumeration date
11/14/2019
Last updated
11/25/2024
Update your record
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