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NPI 1831630797 · live from the CMS NPI Registry

Functional Therapy Of Alaska

Speech-Language Pathologist, in Anchorage, AK. National Provider Identifier 1831630797, active.

NPI record

NPI1831630797 Type 2 · organization
StatusActive
Primary specialtySpeech-Language Pathologist, 235Z00000X
Practice location205 E Benson Blvd, Suite 114, Anchorage, AK 99503
Practice phone907-360-8513
Mailing address4041 Wright St, Anchorage, AK 99508
EnumeratedMarch 13, 2017
Last updatedMarch 13, 2017
Authorized officialE Seater, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Speech-Language Pathologist, primary235Z00000XSLPS246 (AK)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.