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NPI Code Detail

MEDICARE: MOMENTUM CHIROPRACTIC & SPORTS REHAB PLLC

MEDICARE: MOMENTUM CHIROPRACTIC & SPORTS REHAB PLLC
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
1111NS0005XSports Physician Chiropractor

General Provider Information

NPI Number : 1710834817
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOMENTUM CHIROPRACTIC & SPORTS REHAB PLLC
Provider Business Mailing Address
First Line : 12729 NORTHUP WAY
Second Line :
City : BELLEVUE
State : WA
Zip : 98005-1935
Country : US
Telephone Number : 360-836-1679
Fax Number :
Provider Business Practice Location Address
First Line : 12729 NORTHUP WAY
Second Line :
City : BELLEVUE
State : WA
Zip : 98005-1935
Country : US
Telephone Number : 360-836-1679
Fax Number :
Authorized Official
Title or Position : DOCTOR OF CHIROPRACTIC
Name : DR. HAILEY NICOLE SEARS
Credential : DC
Telephone Number : 360-836-1679
Provider Enumeration Date : 03/16/2026
Last Update Date : 03/16/2026

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Directions to “MOMENTUM CHIROPRACTIC & SPORTS REHAB PLLC ” Practice Location

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