ALASKA AQUATIC THERAPY INC. NPI 1932244068

NPI Information

NPI: 1932244068
Provider Name: ALASKA AQUATIC THERAPY INC.
Classification: Rehabilitation Practitioner - 225400000X
Entity Type: Organization
Address:
MILE 23.4 SPUR HWY
POOLSIDE AVE
NIKISKI, AK
ZIP 99635
Phone: (907) 283-7946
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ALASKA AQUATIC THERAPY INC. is a rehabilitation practitioner in Nikiski, AK. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. ALASKA AQUATIC THERAPY INC. NPI is 1932244068. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

MILE 23.4 SPUR HWY
POOLSIDE AVE
NIKISKI, AK
ZIP 99635
Phone: (907) 283-7946

The provider's authorized official is Katherine Gardner .
The authorized official title is President and has the following contact phone number (907) 283-7946.

The enumeration date for this NPI number is 2/20/2007 and was last updated on 10/18/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225400000X	Rehabilitation Practitioner			ALASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	TC4600	MEDICAID	ALASKA
2	026531	MEDICARE ID-TYPE UNSPECIFIED	ALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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