Healthcare Provider Details

I. General information

NPI: 1467314559
Provider Name (Legal Business Name): BELLEVUE CHIROPRACTIC & MASSAGE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2025
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13333 NE BEL RED RD STE 210
BELLEVUE WA
98005-2332
US

IV. Provider business mailing address

13333 NE BEL RED RD STE 210
BELLEVUE WA
98005-2332
US

V. Phone/Fax

Practice location:
  • Phone: 425-333-8111
  • Fax: 425-533-2386
Mailing address:
  • Phone: 425-333-8111
  • Fax: 425-533-2386

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: MATTHEW GOLDEN LARSON
Title or Position: PRESIDENT
Credential: DC
Phone: 425-898-3055