IndividualActive
Haakan Bohman, PTA
NPI 1528879574 · Physical Therapy Assistant · Wasilla, AK
Provider details
- NPI number
- 1528879574
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sole proprietor
- No
- License
- 202724 (AK)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1001 S Knik Goose Bay Rd
Wasilla, AK 99654-8083
Phone: (907) 631-7630
Fax: (907) 729-5180
Approximate (ZIP-level) locationGet directions
Mailing address
7033 E Tudor Rd
Anchorage, AK 99507-1262
Registry dates
- Enumerated
- 2025-01-17
- Last updated
- 2025-01-17
- Certified
- 2025-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.