Healthcare Provider Details

I. General information

NPI: 1912817313
Provider Name (Legal Business Name): KULA THERAPY CO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3401 E 42ND AVE
ANCHORAGE AK
99508-5458
US

IV. Provider business mailing address

3843 RANDOLPH ST
ANCHORAGE AK
99508-4530
US

V. Phone/Fax

Practice location:
  • Phone: 907-727-3340
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: SARAH LIEBE
Title or Position: OWNER
Credential:
Phone: 907-727-3340