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NPI Code Detail

MEDICARE: RAINIER CHIROPRACTIC CLINIC

MEDICARE: RAINIER CHIROPRACTIC CLINIC
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
1111N00000XChiropractor601290297000WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10173734OTHERWAL AND I CLINIC NUMBER

General Provider Information

NPI Number : 1831122373
Entity Type Code : Organization
Provider Name (Legal Business Name) : RAINIER CHIROPRACTIC CLINIC
Provider Business Mailing Address
First Line : PO BOX 656
Second Line :
City : RAINIER
State : WA
Zip : 98576-0656
Country : US
Telephone Number : 360-400-3151
Fax Number : 360-400-3150
Provider Business Practice Location Address
First Line : 503 1ST ST S
Second Line :
City : YELM
State : WA
Zip : 98597-7634
Country : US
Telephone Number : 360-400-3151
Fax Number : 360-400-3150
Authorized Official
Title or Position : OWNER, CHIROPRACTOR
Name : MR. JOSEPH DISPENZA
Credential : D.C.
Telephone Number : 360-400-3151
Provider Enumeration Date : 07/08/2006
Last Update Date : 06/05/2011

Similar Medicare Providers

1932102274 — DR. JOSEPH DISPENZA D.C.
Practice Location Address:
503 1ST ST S
YELM, WA
98597-7634
Practice Phone: 360-400-3151
Practice Fax: 360-400-3150
1518224690 — MS. KATHY LUND LMP
Practice Location Address:
503 1ST ST S
YELM, WA
98597-7634
Practice Phone: 360-480-9505
Practice Fax:
1568899573 — MARK BINGEL DC
Practice Location Address:
503 1ST ST S
YELM, WA
98597-7634
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Practice Fax:
1801269519 — AMBER WOODS D.C.
Practice Location Address:
503 1ST ST S
YELM, WA
98597-7634
Practice Phone: 360-400-3151
Practice Fax: 360-400-3150
1790212009 — NORTHWEST ADVANCED SPINAL CARE PLLC
Practice Location Address:
503 1ST ST S
YELM, WA
98597-7634
Practice Phone: 360-400-3151
Practice Fax: 360-400-3150
1881229953 — KYLE BLAKE
Practice Location Address:
503 1ST ST S STE 4
YELM, WA
98597-7634
Practice Phone: 360-400-5625
Practice Fax:

Directions to “RAINIER CHIROPRACTIC CLINIC ” Practice Location

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