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SPINAL & SPORTS CARE CLINIC P S NPI 1760699326


NPI Information

NPI: 1760699326
Provider Name: SPINAL & SPORTS CARE CLINIC P S
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
12905 E SPRAGUE AVE
SPOKANE VALLEY, WA
ZIP 99216
Phone: (509) 922-0303
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SPINAL & SPORTS CARE CLINIC P S is a chiropractor in Spokane Valley, 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. SPINAL & SPORTS CARE CLINIC P S NPI is 1760699326. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12905 E SPRAGUE AVE
SPOKANE VALLEY, WA
ZIP 99216-731
Phone: (509) 922-0303
Fax: (509) 922-0657

The provider's authorized official is Steven L Shirley .
The authorized official title is Clinic Owner and has the following contact phone number (509) 922-0303.

The enumeration date for this NPI number is 5/16/2007 and was last updated on 7/9/2013.


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
1225700000XMassage TherapistWASHINGTONNo
2111N00000XChiropractorWASHINGTONYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GAB11675MEDICARE PINWASHINGTON
20038870OTHERWASHINGTONLABOR AND INDUSTRIES

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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