Organization · NPI-2

Columbia Point Sports Rehabilitation Clinic Corp

Chiropractor · Yakima, WA

NPI number1790968188
StatusActive
Last updated in NPPESJul 6, 2020

Details

NPI
1790968188
Entity type
Organization (NPI-2)
Legal business name
Columbia Point Sports Rehabilitation Clinic Corp
Organization subpart
No
Enumeration date
Dec 10, 2007
Certification date
Jul 6, 2020
Last updated
Jul 6, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X ChiropractorCH00003365WAYes

Practice location

408 S 2nd St
Yakima, WA 98901-2816

Phone 509-452-0738 · Fax 509-452-0743

Mailing address

408 S 2nd St
Yakima, WA 98901-2816

Phone 509-452-0738 · Fax 509-452-0743

Other practice locations

8033 W Grandridge Blvd
Kennewick, WA 99336-7159

Phone 509-783-2225 · Fax 509-783-1898

Authorized official

Gerald Paul Moran
Chiropractor
5094520738

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