IndividualActive
Kalen Pedersen, PTA
NPI 1538959523 · Physical Therapy Assistant · Kodiak, AK
Provider details
- NPI number
- 1538959523
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- 124594 (AK)
Practice location
813 Lower Mill Bay Rd
Kodiak, AK 99615-7314
Phone: (907) 486-4499
Fax: (907) 486-8211
Mailing address
813 Lower Mill Bay Rd
Kodiak, AK 99615-7314
Registry dates
- Enumerated
- 2025-05-12
- Last updated
- 2025-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.