Ellensburg Sport and Spine, LLC
NPI #1376215483 in Ellensburg, Washington
Provider Information
- NPI Number
- 1376215483
- Entity Type
- Organization
- Organization Name
- Ellensburg Sport and Spine, LLC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Sep 28, 2021
- Last Updated
- May 6, 2022
Practice Location
- Address
- 314 N PINE ST
- City
- Ellensburg
- State
- Washington
- ZIP Code
- 98926-3366
- Phone
- (360) 791-6226
Authorized Official
- Name
- DR. DILLON T CLARK, DC
- Title
- OWNER/AUTHORIZED OFFICIAL
- Phone
- (360) 791-6226
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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