Provider Demographics
NPI:1306349667
Name:ALASKA HEALING TOUCH
Entity type:Organization
Organization Name:ALASKA HEALING TOUCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:RAYMOND
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:907-631-3673
Mailing Address - Street 1:951 E. BOGARD RD.
Mailing Address - Street 2:SUITE 103
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99654-2500
Mailing Address - Country:US
Mailing Address - Phone:907-631-3673
Mailing Address - Fax:
Practice Address - Street 1:951 E BOGARD RD STE 103
Practice Address - Street 2:
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99654-7175
Practice Address - Country:US
Practice Address - Phone:907-631-3673
Practice Address - Fax:855-710-7734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-13
Last Update Date:2018-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty