Provider Demographics
NPI:1659171775
Name:MEDICINE BY MOVEMENT WELLNESS AND PT LLC
Entity type:Organization
Organization Name:MEDICINE BY MOVEMENT WELLNESS AND PT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PT
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HASELTINE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:907-623-8708
Mailing Address - Street 1:116 CASCADE CREEK RD
Mailing Address - Street 2:
Mailing Address - City:SITKA
Mailing Address - State:AK
Mailing Address - Zip Code:99835-9612
Mailing Address - Country:US
Mailing Address - Phone:907-623-8708
Mailing Address - Fax:
Practice Address - Street 1:311 PRICE ST
Practice Address - Street 2:
Practice Address - City:SITKA
Practice Address - State:AK
Practice Address - Zip Code:99835-9821
Practice Address - Country:US
Practice Address - Phone:907-623-8708
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy