Nolan Deatherage, DC

NPI #1144467119 in Auburn, Washington

Provider Information

NPI Number: 1144467119
Entity Type: Individual
Name: Nolan Deatherage, DC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Jan 13, 2009
Last Updated: Jan 13, 2009

Practice Location

Address: 1101 SUPERMALL WAY STE 1269
City: Auburn
State: Washington
ZIP Code: 98001-6535
Phone: (253) 269-0261

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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