Clark Chiropractic INC

NPI #1962078279 in Renton, Washington

Provider Information

NPI Number: 1962078279
Entity Type: Organization
Organization Name: Clark Chiropractic INC
Primary Specialty: Massage Therapist
Enumeration Date: May 28, 2021
Last Updated: May 28, 2021

Practice Location

Address: 17422 108TH AVE SE #101
City: Renton
State: Washington
ZIP Code: 98055-5400
Phone: (425) 255-0427

Authorized Official

Name: MRS. JENNIFER K NEATHERY, LMT
Title: MASSAGE THERAPIST
Phone: (425) 255-0427

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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