BELLEVUE WELLNESS GROUP PS NPI 1871715177

NPI Information

BELLEVUE WELLNESS GROUP, PS is a chiropractor in Bellevue, 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. BELLEVUE WELLNESS GROUP, PS NPI is 1871715177. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Bellevue Chiropractic Center.

The provider's business location address is:

10655 NE 4TH ST
101
BELLEVUE, WA
ZIP 98004-035
Phone: (425) 455-2225
Fax: (425) 454-7767

The provider's authorized official is Raymon Kooner .
The authorized official title is Owner and has the following contact phone number (425) 455-2225.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 10/24/2011.

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:

Other Identifiers

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

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