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MANUAL MEDICINE & REHABILITATION CENTER PC NPI 1295900421


NPI Information

NPI: 1295900421
Provider Name: MANUAL MEDICINE & REHABILITATION CENTER PC

Doing Business As: DR.IBOLIT

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
221A NE 104TH AVE STE 205
VANCOUVER, WA
ZIP 98664
Phone: (360) 737-9665
Get Directions

MANUAL MEDICINE & REHABILITATION CENTER PC is a chiropractor in Vancouver, 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. MANUAL MEDICINE & REHABILITATION CENTER PC NPI is 1295900421. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Dr.ibolit.

The provider's business location address is:

221A NE 104TH AVE STE 205
VANCOUVER, WA
ZIP 98664-539
Phone: (360) 737-9665
Fax: (360) 737-9634

The provider's authorized official is Aldona L Patterson .
The authorized official title is Billing and has the following contact phone number (360) 737-9665.

The enumeration date for this NPI number is 4/29/2008 and was last updated on 6/8/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorCH00034303WASHINGTONYes
2111N00000XChiropractorCH00033960WASHINGTONNo
3225100000XPhysical TherapistNo
4225700000XMassage TherapistMA00020024WASHINGTONNo

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: 4/28/2024

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