Dynamic Chiropractic Clinic, Ps
Chiropractor in Kenmore, WA. Organization (NPI-2).
NPI number1609045004
StatusActive
Last updated in NPPESOct 5, 2021
Details
- NPI
- 1609045004
- Entity type
- Organization (NPI-2)
- Legal business name
- Dynamic Chiropractic Clinic, Ps
- Organization subpart
- No
- Enumeration date
- Feb 29, 2008
- Certification date
- Oct 5, 2021
- Last updated
- Oct 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | CH33993 | WA | Yes |
Practice location
17511 68th Ave NeSuite 1
Kenmore, WA 98028
Phone 206-343-3325 · Fax 206-838-7330
Mailing address
17511 68th Ave NeSuite 1
Kenmore, WA 98028
Phone 206-343-3325 · Fax 206-838-7330
Authorized official
Peter Keith Carr
President
2063433325
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