Heritage Building LLC

NPI #1023449006 in Olympia, Washington

Provider Information

NPI Number: 1023449006
Entity Type: Organization
Organization Name: Heritage Building LLC
Primary Specialty: Chiropractor
Enumeration Date: Dec 2, 2013
Last Updated: Apr 1, 2014

Practice Location

Address: 4001 HARRISON AVE NW
Address 2: STE 102
City: Olympia
State: Washington
ZIP Code: 98502-5084
Phone: (360) 956-3627

Authorized Official

Name: DR. RICHARD LOUIS FAIOLA, M.D.
Title: PRESIDENT
Phone: (360) 704-2362

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary
Physical Medicine & Rehabilitation	208100000X
Massage Therapist	225700000X

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