Jaded Body Wellness & Spine Institute
LBN: Jaded Body Wellness & Spine Institute
Jaded Body Wellness & Spine Institute is an health care organization with primary practice located at 645 N Jessica Brooke Cir Suite C, Wasilla AK 99654-7295. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty.
Jaded Body Wellness & Spine Institute can be contacted via phone (907) 631-0600, or through Ekle, Jade Walter via phone (907) 631-0600.
Contact Information
Primary practice address
645 N Jessica Brooke Cir Suite C
Wasilla AK 99654-7295
Phone: (907) 631-0600
Fax: (907) 631-3032
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2028 | Alaska |
Profile Details
| NPI number | 1306108543 |
|---|---|
| LBN Legal business name | Jaded Body Wellness & Spine Institute |
| DBA Doing business as | |
| Authorized official | Ekle, Jade Walter |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 13th, 2012 |
| Last updated | Feb 4th, 2015 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306108543 | NPPES |
| Alaska | MEDICAID | PT0068 |
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