MEDICARE: DR. LEAH MEADOWS DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH00033892	WA
2	111NR0400X	Rehabilitation Chiropractor	CH00033892	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	141927	OTHER	WA	STATE L&I

General Provider Information

NPI Number	:	1215007711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEAH MEADOWS DC

Provider Business Mailing Address
First Line	:	13615 100TH AVE NE
Second Line	:
City	:	KIRKLAND
State	:	WA
Zip	:	98034-5234
Country	:	US
Telephone Number	:	425-814-9644
Fax Number	:	425-814-6395

Provider Business Practice Location Address
First Line	:	13325 100TH AVE NE STE D
Second Line	:
City	:	KIRKLAND
State	:	WA
Zip	:	98034-5213
Country	:	US
Telephone Number	:	425-814-9644
Fax Number	:	425-814-6395

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2006
Last Update Date	:	02/03/2024

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Directions to “ DR. LEAH MEADOWS DC” Practice Location

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