OrganizationActive
Kinetic Physical Therapy LLC
NPI 1508174541 · Physical Therapy Clinic/Center · Ketchikan, AK
Provider details
- NPI number
- 1508174541
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Leah Pagenkopf, Physical Therapist(907) 617-4402
- License
- 826 (AK)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
5193 Borch St
Ketchikan, AK 99901-9036
Phone: (907) 617-4402
Fax: (907) 247-7868
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 794
Ward Cove, AK 99928-0794
Registry dates
- Enumerated
- 2010-09-23
- Last updated
- 2010-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.