TANNER WADE KETTWIG
NPI 1063395325
Counselor - Mental Health in Wasilla, AK
About Tanner Wade Kettwig NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TANNER WADE KETTWIG (NPI 1063395325) is an individual mental health provider in Wasilla, Alaska and active in the NPI registry since July 2025.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tanner Kettwig's NPI number?
The NPI number for Tanner Kettwig is 1063395325. It was assigned to this individual provider in the NPPES registry on July 25, 2025.
Where is Tanner Kettwig located?
Tanner Kettwig practices at 4040 S Discovery Bay Dr, Wasilla, AK 99654. The listed phone number is (605) 467-9129.
What is Tanner Kettwig's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
When was this NPI record last updated?
The NPPES record for Tanner Kettwig was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Tanner Wade Kettwig · NPI 1063395325
Mental Health provider in Wasilla, Alaska. Individual provider, active in the CMS NPPES registry since July 25, 2025.
## Identity
- **NPI:** 1063395325 (Entity type: Individual)
- **Enumerated:** July 25, 2025
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 4040 S DISCOVERY BAY DR, Wasilla, AK 99654-0397
- **Phone:** (605) 467-9129
## Record status
- **NPPES last updated:** July 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1063395325) · Data from the CMS NPPES public registry.