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ACTIVE CHIROPRACTIC CLINIC PS NPI 1992901326


NPI Information

NPI: 1992901326
Provider Name: ACTIVE CHIROPRACTIC CLINIC PS

Former Legal Business Name: ACTIVE CHIROPRACTIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
7910 PACIFIC AVE
TACOMA, WA
ZIP 98408
Phone: (253) 473-3733
Get Directions

ACTIVE CHIROPRACTIC CLINIC PS is a chiropractor in Tacoma, 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. ACTIVE CHIROPRACTIC CLINIC PS NPI is 1992901326. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Active Chiropractic.

The provider's business location address is:

7910 PACIFIC AVE
TACOMA, WA
ZIP 98408
Phone: (253) 473-3733
Fax: (253) 473-9517

The provider's authorized official is Wayne D Herstad .
The authorized official title is Chiropractor and has the following contact phone number (253) 473-3733.

The enumeration date for this NPI number is 6/22/2007 and was last updated on 8/22/2020.


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
1111N00000XChiropractorCH00001262WASHINGTONYes

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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