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NPI Code Detail

MEDICARE: BRENNA THERESA MARIE GRAY DC

MEDICARE:   BRENNA THERESA MARIE GRAY  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
1111N00000XChiropractorCH61366540WA

General Provider Information

NPI Number : 1689341638
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENNA THERESA MARIE GRAY DC
Provider Business Mailing Address
First Line : 417 E PINE ST STE P
Second Line :
City : SEATTLE
State : WA
Zip : 98122-2378
Country : US
Telephone Number : 206-851-2242
Fax Number : 206-708-6472
Provider Business Practice Location Address
First Line : 417 E PINE ST STE P
Second Line :
City : SEATTLE
State : WA
Zip : 98122-2378
Country : US
Telephone Number : 206-851-2242
Fax Number : 205-708-6472
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2021
Last Update Date : 12/04/2025

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Directions to “ BRENNA THERESA MARIE GRAY DC” Practice Location

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