IndividualActive
Kimberly Bush, PTA
NPI 1467775098 · Physical Therapy Assistant · Wasilla, AK
Provider details
- NPI number
- 1467775098
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 678 (AK)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
650 N Shoreline Dr Ste 101
Wasilla, AK 99654-6677
Phone: (907) 376-6363
Fax: (907) 376-6366
Approximate (ZIP-level) locationGet directions
Mailing address
650 N Shoreline Dr Ste 101
Wasilla, AK 99654-6677
Registry dates
- Enumerated
- 2010-03-10
- Last updated
- 2010-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.