NPI 1083870448 · live from the CMS NPI Registry
Alaska Premier Therapy
Speech-Language Pathologist, in Kodiak, AK. National Provider Identifier 1083870448, active.
NPI record
| NPI | 1083870448 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 204 E Rezanof Dr, Lower #2, Kodiak, AK 99615 |
| Practice phone | 907-512-0979 |
| Mailing address | Po Box 226, Kodiak, AK 99615 |
| Enumerated | August 5, 2008 |
| Last updated | August 5, 2008 |
| Authorized official | Christie Chernoff, Speech Language Pathologist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 131 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.