Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Spine and Sports Injury Center, LLC

Organization Sports Physician Chiropractor · NPI 1053690677

Spine and Sports Injury Center, LLC provides Sports Physician Chiropractor services in Wasilla, Alaska. Licensed in Alaska. Registered with an NPI since 2011.

Licensed in
AK
In the registry since
2011
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1001 E Bogard Rd
Wasilla, AK 99654-7114
Phone: (907) 376-2225
Fax: (907) 376-9225
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Sports Physician Chiropractor Taxonomy 111NS0005X · Licence 435 (AK)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1053690677
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristofer Larson — Managing Member · (907) 376-2225
Other names Complete Family Care
NPI enumeratedAugust 12, 2011
Last updated in NPPESFebruary 4, 2025
Certification dateFebruary 4, 2025
Mailing address1001 E Bogard Rd, Wasilla, AK 99654-7114

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