MEDICARE: ETTA ROBERTSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1366000150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ETTA ROBERTSON

Provider Business Mailing Address
First Line	:	9119 W 50TH LN UNIT 3
Second Line	:
City	:	ARVADA
State	:	CO
Zip	:	80002-4437
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12812 OLD GLENN HWY STE A3
Second Line	:
City	:	EAGLE RIVER
State	:	AK
Zip	:	99577-7003
Country	:	US
Telephone Number	:	907-317-5895
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2019
Last Update Date	:	06/05/2019

Similar Medicare Providers

1679571640 — HEALTH WORKS FAMILY MED CLINIC INC.
Practice Location Address:

12812 OLD GLENN HWY
EAGLE RIVER, AK
99577-7003

Practice Phone: 907-622-9675
Practice Fax: 907-622-9676

1679772735 — HEALTH WORKS FAMILY MEDICAL CLINIC INC
Practice Location Address:

12812 OLD GLENN HWY STE A7
EAGLE RIVER, AK
99577-7003

Practice Phone: 907-622-9675
Practice Fax:

1487893863 — TIFFANY G ADKINS
Practice Location Address:

12812 OLD GLENN HWY STE A3
EAGLE RIVER, AK
99577-7003

Practice Phone: 907-317-9349
Practice Fax:

1407129745 — PLAYFUL LEARNING PEDIATRIC THERAPY, LLC
Practice Location Address:

12812 OLD GLENN HWY STE A4
EAGLE RIVER, AK
99577-7003

Practice Phone: 907-317-9349
Practice Fax:

1609362664 — MRS. KATRINA RENEE ISEMAN DPT
Practice Location Address:

12812 OLD GLENN HWY STE A3
EAGLE RIVER, AK
99577-7003

Practice Phone: 907-795-8115
Practice Fax:

1649744574 — MAKAYLA OLIVER
Practice Location Address:

12812 OLD GLENN HWY STE A3
EAGLE RIVER, AK
99577-7003

Practice Phone: 907-317-5895
Practice Fax:

Directions to “ ETTA ROBERTSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.