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REDMOND BACK & NECK CARE CLINIC NPI 1942855499


NPI Information

NPI: 1942855499
Provider Name: REDMOND BACK & NECK CARE CLINIC

Former Legal Business Name: REDMOND BACK & NECK PAIN CLINIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
16440 NE 85TH ST
REDMOND, WA
ZIP 98052
Phone: (425) 885-9950
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REDMOND BACK & NECK CARE CLINIC is a chiropractor in Redmond, 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. REDMOND BACK & NECK CARE CLINIC NPI is 1942855499. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Redmond Back & Neck Pain Clinic.

The provider's business location address is:

16440 NE 85TH ST
REDMOND, WA
ZIP 98052-613
Phone: (425) 885-9950
Fax: (425) 895-9766

The provider's authorized official is Sharon T Wagener Dewolf .
The authorized official title is Provider/owner and has the following contact phone number (425) 885-9950.

The enumeration date for this NPI number is 8/1/2019 and was last updated on 12/2/2020.


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
2225700000XMassage 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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