IndividualActive
Bradley Ischinger, PTA
NPI 1780238014 · Physical Therapy Assistant · Wasilla, AK
Provider details
- NPI number
- 1780238014
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
Mailing address
5400 W Hollywood Rd
Wasilla, AK 99623-9424
Registry dates
- Enumerated
- 2019-07-25
- Last updated
- 2019-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.