IndividualActive
Kassidy Pehrson, PTA
NPI 1386405926 · Physical Therapy Assistant · North Pole, AK
Provider details
- NPI number
- 1386405926
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 218770 (AK)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
157 Lewis St
North Pole, AK 99705-7699
Phone: (907) 488-4978
Approximate (ZIP-level) locationGet directions
Mailing address
1938 Raven Dr
Fairbanks, AK 99709-6661
Registry dates
- Enumerated
- 2024-01-22
- Last updated
- 2024-01-22
- Certified
- 2024-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.