Eastside Ideal Health Issaquah, Pllc

NPI #1811453921 in Issaquah, Washington

Provider Information

NPI Number: 1811453921
Entity Type: Organization
Organization Name: Eastside Ideal Health Issaquah, Pllc
Primary Specialty: Chiropractor
Enumeration Date: Feb 13, 2019
Last Updated: Dec 21, 2021

Practice Location

Address: 1495 NW GILMAN BLVD STE 12
City: Issaquah
State: Washington
ZIP Code: 98027-5328
Phone: (425) 800-6881

Authorized Official

Name: DR. JOEL SOUTHWELL, DC, MS
Title: OWNER/CHIROPRACTIC PHYSICIAN
Phone: (425) 800-6881

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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