Active Chiropractic Clinic Ps

Chiropractor in Tacoma, WA. Organization (NPI-2).

NPI number1992901326

StatusActive

Last updated in NPPESAug 22, 2020

Details

NPI: 1992901326
Entity type: Organization (NPI-2)
Legal business name: Active Chiropractic Clinic Ps
Organization subpart: No
Enumeration date: Jun 22, 2007
Last updated: Aug 22, 2020

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	CH00001262	WA	Yes

Other names

Active Chiropractic (Former Legal Business Name)

Practice location

7910 Pacific Ave
Tacoma, WA 98408

Phone 253-473-3733 · Fax 253-473-9517

Mailing address

7910 Pacific Ave
Tacoma, WA 98408

Phone 253-473-3733 · Fax 253-473-9517

Authorized official

Wayne D Herstad
Chiropractor
2534733733

Is something wrong?

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