Organization
EQUINOX, INC
Active
Other names
Equinox Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUTH KRISTINE CARSON P.T. (OWNER/ PHYSICAL THERAPIST)
(907) 479-3800
Entity
Organization
Contact information
Practice address
3677 COLLEGE RD, SUITE 13, FAIRBANKS, AK 99709-3712
(907) 479-3800
(907) 479-9195
Mailing address
3677 COLLEGE RD, SUITE 13, FAIRBANKS, AK 99709-3712
(907) 479-3800
(907) 479-9195
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
207554
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215013263
INDV NPI #
AK
01
—
1306090766
NPI INDV#
AK
01
—
1326122722
INDV NPI #
AK
01
—
1700961851
INDV NPI #
AK
01
—
1912082090
INDV NPI #
AK
01
—
1972643138
NPI # EQUINOX, INC
AK
01
—
KOOOOWCPGC
MEDICARE PTAN#
AK
05
—
PT0306
—
AK
05
—
PT0665
—
AK
05
—
PT1607
—
AK
05
—
PT1807
—
AK
05
—
PT9414
—
AK
Enumeration date
02/07/2007
Last updated
11/30/2012
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