Liberty Lake Chiropractic Ps
Chiropractor in Liberty Lake, WA. Organization (NPI-2).
NPI number1316116262
StatusActive
Last updated in NPPESDec 17, 2020
Details
- NPI
- 1316116262
- Entity type
- Organization (NPI-2)
- Legal business name
- Liberty Lake Chiropractic Ps
- Organization subpart
- No
- Enumeration date
- Feb 25, 2008
- Certification date
- Dec 17, 2020
- Last updated
- Dec 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | CH3605 | WA | Yes |
Other names
- Spokane Spine And Disc (Doing Business As)
Practice location
2207 N Molter RdSuite 250
Liberty Lake, WA 99019-7570
Phone 509-893-9939 · Fax 509-893-9107
Mailing address
2207 N Molter RdSuite 250
Liberty Lake, WA 99019-7570
Phone 509-893-9939 · Fax 509-893-9107
Authorized official
Amy Truex
Credentialing Manager
5096087004
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