Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jaded Body Wellness & Spine Institute, LLC

Organization Physical Therapist · NPI 1306108543

Jaded Body Wellness & Spine Institute, LLC is a Physical Therapist in Wasilla, Alaska. Licensed in Alaska. Registered with an NPI since 2012.

Licensed in
AK
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

645 N Jessica Brooke Cir Ste C
Wasilla, AK 99654-7333
Phone: (907) 631-0600
Fax: (907) 631-3032
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2028 (AK)

Record details

NPI number1306108543
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Caprice Carter — Billing · (907) 631-0600
NPI enumeratedJune 13, 2012
Last updated in NPPESOctober 28, 2024
Certification dateOctober 28, 2024
Mailing address645 N Jessica Brooke Circle, Ste C, Ste C, Wasilla, AK 99654-7333

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