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NPI 1508386178

OrganizationActive

Southcentral Foundation

NPI 1508386178 · Rehabilitation Chiropractor · Wasilla, AK

Provider details

NPI number: 1508386178
Entity type: Organization
Primary specialty: Rehabilitation ChiropractorChiropractic Providers
Authorized official: Ronald Olson, Vp of Finance
License: 20467 (AK)

Practice location

1001 S Knik Goose Bay Rd

Wasilla, AK 99654-8083

Phone: (907) 729-8624

More AK providers

Mailing address

4501 Diplomacy Dr

Anchorage, AK 99508-5919

Registry dates

Enumerated: 2017-06-23
Last updated: 2017-06-23

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Southcentral Foundation — NPI 1508386178, Wasilla, AK | NPI Central