OrganizationActive
Ideal Motion Physical Therapy LLC
NPI 1124497540 · Physical Therapy Clinic/Center · Eagle River, AK
Provider details
- NPI number
- 1124497540
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Chris Wilson, Owner
- License
- 1021707 (AK)
Practice location
12551 Old Glenn Hwy Ste E
Eagle River, AK 99577-7590
Phone: (907) 694-5515
Fax: (907) 694-5575
Mailing address
12551 Old Glenn Hwy Ste E
Eagle River, AK 99577-7590
Registry dates
- Enumerated
- 2015-09-15
- Last updated
- 2020-01-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.