Healthcare Provider Details

I. General information

NPI: 1891604476
Provider Name (Legal Business Name): JAMI A KING
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3750 E COUNTRY FIELD CIR STE A
WASILLA AK
99654-6659
US

IV. Provider business mailing address

3750 E COUNTRY FIELD CIR STE A
WASILLA AK
99654-6659
US

V. Phone/Fax

Practice location:
  • Phone: 907-376-7334
  • Fax: 907-373-1429
Mailing address:
  • Phone: 907-376-7334
  • Fax: 907-373-1429

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number257048
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: