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Contact Information

ALTAIR INTEGRATIVE WELLNESS
892 E USA CIR STE 108
WASILLA, AK99654-7106
 Phone: 907-357-1818
 Fax: 907-357-1814
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
 

Family

363LF0000X 50 Nurse Practitioner
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
 

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for ALTAIR INTEGRATIVE WELLNESS · (Female)

NPI Number 1932744836
Status Active
Credentials
Entity Individual
Enumeration date 11/14/2019
Last updated 11/25/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • AK Medicaid 1633093
  • AK Medicaid 1636141
  • AK Medicaid 1702799
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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