Bayside Chiropractic, Pllc
NPI #1447494984 in University Place, Washington
Provider Information
- NPI Number
- 1447494984
- Entity Type
- Organization
- Organization Name
- Bayside Chiropractic, Pllc
- Primary Specialty
- Chiropractor
- Enumeration Date
- Apr 28, 2009
- Last Updated
- Jan 14, 2023
Practice Location
- Address
- 7307 40TH ST W STE B
- City
- University Place
- State
- Washington
- ZIP Code
- 98466-4385
- Phone
- (253) 753-6204
Authorized Official
- Name
- DR. SHANE D BOUCHER, D.C.
- Title
- OWNER
- Phone
- (253) 753-6204
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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