| NPI | 1932744836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA E WORKMAN DC CEO 907-357-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2024-11-25 |