Healthcare Provider Details

I. General information

NPI: 1659109247
Provider Name (Legal Business Name): EHRESMAN FAMILY CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2024
Last Update Date: 07/24/2024
Certification Date: 07/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23160 NE STATE HWY 3
BELFAIR WA
98525-1267
US

IV. Provider business mailing address

PO BOX 1267
BELFAIR WA
98528-1267
US

V. Phone/Fax

Practice location:
  • Phone: 360-275-4401
  • Fax: 360-275-8016
Mailing address:
  • Phone: 360-275-4401
  • Fax: 360-275-8016

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: MRS. KIMBERLY EHRESMAN
Title or Position: OFFICE MANAGER
Credential:
Phone: 360-275-4401