Provider Demographics
NPI:1396974440
Name:MAGEE, TRISHA MARIE (MPT)
Entity type:Individual
Prefix:
First Name:TRISHA
Middle Name:MARIE
Last Name:MAGEE
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7362 W PARKS HWY # 422
Mailing Address - Street 2:
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99623-9300
Mailing Address - Country:US
Mailing Address - Phone:844-949-9075
Mailing Address - Fax:844-907-5075
Practice Address - Street 1:4524 S MAINSAIL AVE BLDG 2
Practice Address - Street 2:
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99623-0352
Practice Address - Country:US
Practice Address - Phone:844-949-9075
Practice Address - Fax:844-907-5075
Is Sole Proprietor?:No
Enumeration Date:2009-07-10
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKPHYP1425225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist