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

Spine and Sports Injury Center, LLC

Organization Sports Physician Chiropractor · NPI 1053690677

Spine and Sports Injury Center, LLC is a Sports Physician Chiropractor in Wasilla, Alaska. Licensed in Alaska. Registered with an NPI since 2011.

Licensed in
AK
In the registry since
2011
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1001 E Bogard Rd
Wasilla, AK 99654-7114
Phone: (907) 376-2225
Fax: (907) 376-9225
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Sports Physician Chiropractor Taxonomy 111NS0005X · Licence 435 (AK)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1053690677
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristofer Larson — Managing Member · (907) 376-2225
Other names Complete Family Care
NPI enumeratedAugust 12, 2011
Last updated in NPPESFebruary 4, 2025
Certification dateFebruary 4, 2025
Mailing address1001 E Bogard Rd, Wasilla, AK 99654-7114

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