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LIFE IMPACT CHIROPRACTIC & MASSAGE CLINIC NPI 1992074454


NPI Information

NPI: 1992074454
Provider Name: LIFE IMPACT CHIROPRACTIC & MASSAGE CLINIC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
621 BEACH AVE
MARYSVILLE, WA
ZIP 98270
Phone: (360) 658-8675
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LIFE IMPACT CHIROPRACTIC & MASSAGE CLINIC is a chiropractor in Marysville, 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. LIFE IMPACT CHIROPRACTIC & MASSAGE CLINIC NPI is 1992074454. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

621 BEACH AVE
MARYSVILLE, WA
ZIP 98270-527
Phone: (360) 658-8675
Fax: (360) 658-8675

The provider's authorized official is Joseph Hong .
The authorized official title is Chiropractic and has the following contact phone number (360) 658-8675.

The enumeration date for this NPI number is 12/29/2011 and was last updated on 12/29/2011.


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
1111N00000XChiropractor00034817WASHINGTONYes

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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