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CONVERGENT THERAPIES PLLC NPI 1801072574


NPI Information

NPI: 1801072574
Provider Name: CONVERGENT THERAPIES, PLLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
3214 50TH ST CT NW
SUITE 205-C
GIG HARBOR, WA
ZIP 98335
Phone: (253) 254-5653
Get Directions

CONVERGENT THERAPIES, PLLC is a chiropractor in Gig Harbor, WA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. CONVERGENT THERAPIES, PLLC NPI is 1801072574. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3214 50TH ST CT NW
SUITE 205-C
GIG HARBOR, WA
ZIP 98335
Phone: (253) 254-5653
Fax: (253) 235-3656

The provider's authorized official is Luther Khanh Chau .
The authorized official title is Ceo and has the following contact phone number (253) 254-5653.

The enumeration date for this NPI number is 1/12/2008 and was last updated on 8/27/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage TherapistMA00019867WASHINGTONNo
2111N00000XChiropractor60423749WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13142571000MEDICARE UPINWASHINGTON
21649324161OTHERWASHINGTONINDIVIDUAL NPI
30193239MEDICARE UPINWASHINGTON
41801072574OTHERWASHINGTONGROUP NPI
50007530738MEDICARE UPINWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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