Camacho Chiropractic Clinic LLC

NPI #1174122527 in Mattawa, Washington

Provider Information

NPI Number: 1174122527
Entity Type: Organization
Organization Name: Camacho Chiropractic Clinic LLC
Subpart: Yes (part of a larger organization)
Parent Organization: CAMACHO CHIROPRACTIC AND SPORTS MEDICINE LLC
Primary Specialty: Chiropractor
Enumeration Date: Oct 17, 2020
Last Updated: Oct 17, 2020

Practice Location

Address: 127 FRONTIER WAY SW
City: Mattawa
State: Washington
ZIP Code: 99349-2092
Phone: (509) 203-7666

Authorized Official

Name: DR. JUAN RAMON CAMACHO, DC
Title: OWNER/CHIROPRACTOR
Phone: (509) 305-5163

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X
Chiropractor	111N00000X	Primary

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