Healthcare Provider Details

I. General information

NPI: 1427044965
Provider Name (Legal Business Name): AIMEE C. AHRENS D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2005
Last Update Date: 06/17/2024
Certification Date: 06/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

454 PINE ST
EASTSOUND WA
98245-9454
US

IV. Provider business mailing address

454 PINE ST
EASTSOUND WA
98245-9454
US

V. Phone/Fax

Practice location:
  • Phone: 363-376-5575
  • Fax: 425-277-0652
Mailing address:
  • Phone: 363-376-5575
  • Fax: 425-277-0652

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC28282
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH60062854
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: