Healthcare Provider Details

I. General information

NPI: 1942625306
Provider Name (Legal Business Name): CHRISTOPHER GALINDO MA60446365
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/21/2014
Last Update Date: 02/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1951 1ST ST
CHENEY WA
99004-2000
US

IV. Provider business mailing address

9613 ASHER DR
CHENEY WA
99004-8565
US

V. Phone/Fax

Practice location:
  • Phone: 509-235-2122
  • Fax:
Mailing address:
  • Phone: 509-251-5911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberMA60446365
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: