| Nathan Kowalczk, DPT | |
|
645 N Jessica Brooke Cir Ste C, Wasilla, AK 99654-7333 | |
| (907) 631-0600 | |
| (907) 631-3032 |
| Full Name | Nathan Kowalczk |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 645 N Jessica Brooke Cir Ste C, Wasilla, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962054296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Select Physical Therapy Holdings Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1699743484 PECOS PAC ID: 9537076401 Enrollment ID: O20151117000542 |
| Mailing Address | Practice Location Address |
|---|---|
| Nathan Kowalczk, DPT 645 N Jessica Brooke Cir Ste C, Wasilla, AK 99654-7333 Ph: (907) 631-0600 | Nathan Kowalczk, DPT 645 N Jessica Brooke Cir Ste C, Wasilla, AK 99654-7333 Ph: (907) 631-0600 |
Amy Lynn Sauck, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1700 E Bogard Rd, Suite B203, Wasilla, AK 99654 Phone: 907-376-4325 | |
Russell Burlingame, PT, MS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 401 E Bogard Rd, Wasilla, AK 99654 Phone: 907-357-2578 | |
Keith Poorbaugh, PT, SCD, OCS, FAAOMP Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 984 N Meridian Pl, # A, Wasilla, AK 99654 Phone: 907-631-4029 Fax: 907-631-4128 | |
Jessica Ann Bruscher, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3543 E. Meridian Park Loop, Wasilla, AK 99654 Phone: 605-280-8413 | |
Andrea Stauner, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 401 E Bogard Rd, Wasilla, AK 99654 Phone: 907-357-2578 Fax: 907-357-2529 | |
Wasilla Physical Therapy Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 3750 E Country Field Cir Ste A, Wasilla, AK 99654 Phone: 907-376-7334 Fax: 907-373-1429 | |
Marcia Everson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 650 N Shoreline Dr, Wasilla, AK 99654 Phone: 907-376-6363 Fax: 907-376-6366 |