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Jeanette Stack, LMP
NPI 1548407497 · on the registry since 2009 · sole proprietor
Practice
- Address
- 984 N Meridian Pl Ste A
Wasilla, AK 99654 - Phone
- (907) 631-4029
- Fax
- (907) 631-4128
- Organisation at this address
- Newak, Llc
Northern Edge Physical Therapy Llc
Northern Edge Physical Therapy Limited PartnershipInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Additional practice sites
- 12205 Vista Ridge Loop, Eagle River, AK
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Also registered as
- 225700000X
- Licence states on file
- WA, AK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-10-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alaska