OrganizationActive
Kidability Physical Therapy, LLC
NPI 1891034575 · Pediatric Physical Therapist · Big Lake, AK
Provider details
- NPI number
- 1891034575
- Entity type
- Organization
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Authorized official
- Kristin Bacon, Owner
- License
- PT1159 (AK)
Mailing address
Po Box 521504
Big Lake, AK 99652-1504
Registry dates
- Enumerated
- 2013-01-31
- Last updated
- 2013-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.