Jaded Body Wellness & Spine Institute, LLC
Jaded Body Wellness & Spine Institute, LLC provides Physical Therapist services in Wasilla, Alaska. Licensed in Alaska. Registered with an NPI since 2012.
- Licensed in
- AK
- In the registry since
- 2012
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
645 N Jessica Brooke Cir Ste CWasilla, AK 99654-7333
Phone: (907) 631-0600
Fax: (907) 631-3032
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 2028 (AK) |
|---|
Record details
| NPI number | 1306108543 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Caprice Carter — Billing · (907) 631-0600 |
| NPI enumerated | June 13, 2012 |
| Last updated in NPPES | October 28, 2024 |
| Certification date | October 28, 2024 |
| Mailing address | 645 N Jessica Brooke Circle, Ste C, Ste C, Wasilla, AK 99654-7333 |
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Nathan Kowalczk, DPT
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