DYNAMIC CHIROPRACTIC CLINIC PS NPI 1609045004

NPI Information

  • NPI: 1609045004
  • Provider Name: DYNAMIC CHIROPRACTIC CLINIC, PS
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 17511 68TH AVE NE
    SUITE 1
    KENMORE, WA
    ZIP 98028
  • Phone: (206) 343-3325

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NPI Details

DYNAMIC CHIROPRACTIC CLINIC, PS is a chiropractor in Kenmore, 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. DYNAMIC CHIROPRACTIC CLINIC, PS NPI is 1609045004. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

17511 68TH AVE NE
SUITE 1
KENMORE, WA
ZIP 98028
Phone: (206) 343-3325
Fax: (206) 838-7330

The provider's authorized official is Peter Keith Carr .
The authorized official title is President and has the following contact phone number (206) 343-3325.

The enumeration date for this NPI number is 2/29/2008 and was last updated on 10/5/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorCH33993WASHINGTONYes

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: 11/21/2025

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