Healthcare Provider Details

I. General information

NPI: 1821572553
Provider Name (Legal Business Name): CHRISTY O'BRIEN PTA, LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/19/2018
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 AIRPORT HEIGHTS RD, SUITE 240
ANCHORAGE AK
99508
US

IV. Provider business mailing address

PO BOX 211496
ANCHORAGE AK
99521-1496
US

V. Phone/Fax

Practice location:
  • Phone: 530-919-1045
  • Fax: 907-313-1369
Mailing address:
  • Phone: 530-919-1045
  • Fax: 907-313-1369

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number249615
License Number StateAK
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number115498
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: