Proactive Health Chiropractic, Corp
NPI #1922480383 in Liberty Lake, Washington
Provider Information
- NPI Number
- 1922480383
- Entity Type
- Organization
- Organization Name
- Proactive Health Chiropractic, Corp
- Primary Specialty
- Chiropractor
- Enumeration Date
- Jun 22, 2015
- Last Updated
- Jun 22, 2015
Practice Location
- Address
- 23801 E APPLEWAY AVE
- Address 2
- 110
- City
- Liberty Lake
- State
- Washington
- ZIP Code
- 99019-9687
- Phone
- (507) 251-5248
Authorized Official
- Name
- DR. SAMUEL NELSON, D.C.
- Title
- PRESIDENT
- Phone
- (507) 251-5248
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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