Fairwood Chiropractic Clinic

NPI #1558586487 in Renton, Washington

Provider Information

NPI Number: 1558586487
Entity Type: Organization
Organization Name: Fairwood Chiropractic Clinic
Primary Specialty: Chiropractor
Enumeration Date: Apr 16, 2007
Last Updated: Jun 24, 2008

Practice Location

Address: 14410 SE PETROVITSKY RD
Address 2: STE 109
City: Renton
State: Washington
ZIP Code: 98058-8900
Phone: (425) 226-1856

Authorized Official

Name: STEVEN THOMAS RYAN, DC
Title: OWNER
Phone: (425) 226-1856

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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