Sports & Spinal Injury Clinic, LLC

NPI #1174719199 in Anchorage, Alaska

Provider Information

NPI Number: 1174719199
Entity Type: Organization
Organization Name: Sports & Spinal Injury Clinic, LLC
Primary Specialty: Chiropractor
Enumeration Date: Sep 24, 2007
Last Updated: Sep 16, 2010

Practice Location

Address: 6634 LAKE OTIS PKWY
Address 2: A
City: Anchorage
State: Alaska
ZIP Code: 99507-2176
Phone: (907) 522-3511

Authorized Official

Name: DR. MATTHEW K HUETTL, D.C.
Title: CHIROPRACTOR
Phone: (907) 522-3511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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