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Contact Information

LUIS A GUAJARDO, PT, DPT, OCS
3801 UNIVERSITY LAKE DR
ANCHORAGE, AK99508-4658
 Phone: 956-286-6258
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for LUIS A GUAJARDO · (Male)

NPI # 1104309103
Status Active
Credentials PT, DPT, OCS
Entity Individual
Enumeration date 09/14/2018
Last updated 02/14/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • AK License # 229862
  • TX License # 1293472
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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