MEDICARE: LINDSAY COLETTE CHIROPRACTIC 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
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1740743822
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LINDSAY COLETTE CHIROPRACTIC PLLC

Provider Business Mailing Address
First Line	:	2510 FAIRVIEW AVE E STE 100
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98102-3286
Country	:	US
Telephone Number	:	206-887-3024
Fax Number	:

Provider Business Practice Location Address
First Line	:	2510 FAIRVIEW AVE E STE 100
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98102-3286
Country	:	US
Telephone Number	:	206-887-3024
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LINDSAY SMITH
Credential	:
Telephone Number	:	206-887-3024

Provider Enumeration Date	:	04/07/2019
Last Update Date	:	04/07/2019

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