IndividualActive
Betty Cooley, L.P.N.
NPI 1508014077 · Physical Disabilities Residential Treatment Facility · Wasilla, AK
Provider details
- NPI number
- 1508014077
- Entity type
- Individual
- Primary specialty
- Physical Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Credential
- L.P.N.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 100689 (AK)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
801 S Hermon Rd
Wasilla, AK 99654-7311
Phone: (907) 631-3971
Fax: (907) 631-4085
Approximate (ZIP-level) locationGet directions
Mailing address
801 S Hermon Rd
Wasilla, AK 99654-7311
Registry dates
- Enumerated
- 2008-09-08
- Last updated
- 2008-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.