IndividualActive
Jonathon Millar, PTA
NPI 1669284683 · Physical Therapy Assistant · Wasilla, AK
Provider details
- NPI number
- 1669284683
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- 230405 (AK)
Mailing address
1001 E Bogard Rd
Wasilla, AK 99654-7114
Registry dates
- Enumerated
- 2025-01-25
- Last updated
- 2025-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.