Healthcare Provider Details

I. General information

NPI: 1073281101
Provider Name (Legal Business Name): LINK CHIROPRACTIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2021
Last Update Date: 09/02/2021
Certification Date: 09/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 148TH AVE SE STE A
BELLEVUE WA
98007-6852
US

IV. Provider business mailing address

5510 227TH ST SE
BOTHELL WA
98021-8006
US

V. Phone/Fax

Practice location:
  • Phone: 425-590-9115
  • Fax:
Mailing address:
  • Phone: 206-501-0067
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. NAZARIY STETSYUK
Title or Position: DOCTOR OF CHIROPRACTIC / OWNER
Credential: DC
Phone: 206-501-0067