Authentic Life Chiropractic | |
501 N Knik St, Wasilla, AK 99654-7050 | |
(907) 414-6800 | |
Not Available |
Full Name | Authentic Life Chiropractic |
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Type | Facility |
Speciality | Chiropractor |
Location | 501 N Knik St, Wasilla, Alaska |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1720448079 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 590 (Alaska) | Primary |
Provider Name | Lisa Kay Grasman |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1205920170 PECOS PAC ID: 8426057746 Enrollment ID: I20161004001982 |
Mailing Address | Practice Location Address |
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Authentic Life Chiropractic 501 N Knik St, Wasilla, AK 99654-7050 Ph: (907) 414-6800 | Authentic Life Chiropractic 501 N Knik St, Wasilla, AK 99654-7050 Ph: (907) 414-6800 |
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