| NPI | 1356621395 |
|---|---|
| Other Name | BACK IN ACTION |
| Entity Type | Organization |
| Authorized Contact | KRISTOFER D LARSON Organizer 907-376-2225 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2021-03-09 |