Provider Demographics
NPI:1477936334
Name:ARCTIC THERAPY AND REHAB BETHEL
Entity Type:Organization
Organization Name:ARCTIC THERAPY AND REHAB BETHEL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:TWIFORD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:907-543-7600
Mailing Address - Street 1:1150 S COLONY WAY STE 3
Mailing Address - Street 2:PMB 226
Mailing Address - City:PALMER
Mailing Address - State:AK
Mailing Address - Zip Code:99645-6967
Mailing Address - Country:US
Mailing Address - Phone:907-543-7601
Mailing Address - Fax:907-543-7018
Practice Address - Street 1:108 B BLACKBERRY
Practice Address - Street 2:
Practice Address - City:BETHEL
Practice Address - State:AK
Practice Address - Zip Code:99559-3466
Practice Address - Country:US
Practice Address - Phone:907-543-7600
Practice Address - Fax:907-543-7018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-09
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK2841261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy