Eagle Harbor Chiropractic Inc.p.s.

NPI #1477684231 in Bainbridge Island, Washington

Provider Information

NPI Number: 1477684231
Entity Type: Organization
Organization Name: Eagle Harbor Chiropractic Inc.p.s.
Primary Specialty: Chiropractor
Enumeration Date: Mar 7, 2007
Last Updated: Dec 5, 2007

Practice Location

Address: 748 WINSLOW WAY E
City: Bainbridge Island
State: Washington
ZIP Code: 98110-2410
Phone: (206) 842-2702

Authorized Official

Name: KIRK W PETHERAM, D.C.
Title: OWNER
Phone: (206) 842-2702

Specialties & Taxonomy Codes

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

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