Provider Demographics
NPI:1427813161
Name:ARVIN, AYLA LOUISE
Entity type:Individual
Prefix:
First Name:AYLA
Middle Name:LOUISE
Last Name:ARVIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:835 E SAGE RD
Mailing Address - Street 2:
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99654-1407
Mailing Address - Country:US
Mailing Address - Phone:907-841-8804
Mailing Address - Fax:
Practice Address - Street 1:835 E SAGE RD
Practice Address - Street 2:
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99654-1407
Practice Address - Country:US
Practice Address - Phone:907-841-8804
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-20
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist