SearchAlaska225200000X

Jacob Peck

NPI 1659120483 · on the registry since 2024

Practice

Address
6701 W Blondell Drive
Wasilla, AK 99623
Phone
(907) 357-9755
Organisation at this address
Select Physical Therapy Holdings, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Additional practice sites

  • 554 Hamlin Hwy Unit 2, Lake Ariel, PA
  • 3455 Rewak Dr Ste 106, Fairbanks, AK

Registry record

Primary taxonomy
225200000X
225200000X
Also registered as
225200000X
225200000X
Licence states on file
CO, AK, PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-01-10

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