Healthcare Provider Details

I. General information

NPI: 1073186011
Provider Name (Legal Business Name): SUNCREST CHIROPRACTIC AND MASSAGE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2021
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4988 S WALLBRIDGE RD
DEER PARK WA
99006-8436
US

IV. Provider business mailing address

4988 S WALLBRIDGE RD
DEER PARK WA
99006-8436
US

V. Phone/Fax

Practice location:
  • Phone: 940-372-4484
  • Fax:
Mailing address:
  • Phone: 940-372-4484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code111NP0017X
TaxonomyPediatric Chiropractor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code111NX0100X
TaxonomyOccupational Health Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: MARTY SEAMANDS
Title or Position: OWNER
Credential: D.C.
Phone: 940-372-4484