Edmonds-Woodway Chiropractic LLC

NPI #1083019301 in Edmonds, Washington

Provider Information

NPI Number: 1083019301
Entity Type: Organization
Organization Name: Edmonds-Woodway Chiropractic LLC
Primary Specialty: Chiropractor
Enumeration Date: Oct 29, 2014
Last Updated: Mar 4, 2015

Practice Location

Address: 7631 212TH ST SW
Address 2: 105B
City: Edmonds
State: Washington
ZIP Code: 98026-7565
Phone: (903) 742-1072

Authorized Official

Name: KRISTOPHER MARTY LANE, DC
Title: OWNER
Phone: (903) 742-1072

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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