Chiro 1st Canada LLC
Chiropractor in Clyde Hill, WA. Organization (NPI-2).
NPI number1124907019
StatusActive
Last updated in NPPESOct 9, 2025
Details
- NPI
- 1124907019
- Entity type
- Organization (NPI-2)
- Legal business name
- Chiro 1st Canada LLC
- Organization subpart
- No
- Enumeration date
- Aug 27, 2025
- Certification date
- Oct 9, 2025
- Last updated
- Oct 9, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | – | – | Yes |
Practice location
2231 95th Ave NeClyde Hill, WA 98004-2517
Phone 425-753-4206
Mailing address
2231 95th Ave NeClyde Hill, WA 98004-2517
Phone 425-753-4206
Authorized official
Jessie Kooner
Hr Manager
4254552225
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