Spine and Sport Chiropractic, LLC

NPI #1194298182 in Lakewood, Washington

Provider Information

NPI Number: 1194298182
Entity Type: Organization
Organization Name: Spine and Sport Chiropractic, LLC
Primary Specialty: Chiropractor
Enumeration Date: Jan 2, 2019
Last Updated: Jul 18, 2019

Practice Location

Address: 8520 STEILACOOM BLVD SW STE 101
City: Lakewood
State: Washington
ZIP Code: 98498-4773
Phone: (253) 507-7564

Authorized Official

Name: DR. DEREK NYREN, DC
Title: OWNER/CHIROPRACTOR
Phone: (253) 507-7564

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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