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MIDWAY HEALTHCARE THERAPEUTICS LLC NPI 1861031684


NPI Information

NPI: 1861031684
Provider Name: MIDWAY HEALTHCARE THERAPEUTICS LLC

Doing Business As: FAIRWOOD CHIROPRACTIC CLINIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
14410 SE PETROVITSKY RD STE 109
RENTON, WA
ZIP 98058
Phone: (425) 226-1856
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MIDWAY HEALTHCARE THERAPEUTICS LLC is a chiropractor in Renton, 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. MIDWAY HEALTHCARE THERAPEUTICS LLC NPI is 1861031684. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Fairwood Chiropractic Clinic.

The provider's business location address is:

14410 SE PETROVITSKY RD STE 109
RENTON, WA
ZIP 98058-900
Phone: (425) 226-1856
Fax: (425) 226-0231

The provider's authorized official is Tallon Nishihata .
The authorized official title is General Operations and has the following contact phone number (206) 824-9500.

The enumeration date for this NPI number is 12/26/2019 and was last updated on 1/23/2020.


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
1111N00000XChiropractorYes
2171100000XAcupuncturistNo
3225700000XMassage TherapistNo

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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