Padrones, Audie

Padrones, Audie is an individual health care provider with primary practice located at 3190 E Meridian Park Loop Ste 207 , Wasilla AK 99654-7422. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Padrones, Audie can be contacted via phone (907) 373-9460.

Contact Information

Primary practice address
3190 E Meridian Park Loop Ste 207 Wasilla AK 99654-7422
Phone: (907) 373-9460
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 01506 Missouri
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 218371 Alaska

Profile Details

NPI number 1205884335
LBN Legal business name Padrones, Audie
Credentials PT, MHS
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Dec 17th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205884335 NPPES
Missouri MEDICAID 483897104
Missouri Other 410490
Missouri Other 120210
Missouri Other 1873945

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