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

Tanner Wade Kettwig

Individual provider Mental Health Counselor · NPI 1063395325

Tanner Wade Kettwig is a Mental Health Counselor in Wasilla, Alaska. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

4040 S Discovery Bay Dr
Wasilla, AK 99654-0397
Phone: (605) 467-9129
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1063395325
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 25, 2025
Last updated in NPPESJuly 25, 2025
Certification dateJuly 25, 2025
Mailing address4040 S Discovery Bay Dr, Wasilla, AK 99654-0397

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