Healthcare Provider Details

I. General information

NPI: 1972848158
Provider Name (Legal Business Name): A TOUCH OF HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2012
Last Update Date: 11/29/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9212 EVERGREEN WAY
EVERETT WA
98204-7125
US

IV. Provider business mailing address

9212 EVERGREEN WAY
EVERETT WA
98204-7125
US

V. Phone/Fax

Practice location:
  • Phone: 425-353-7246
  • Fax: 425-267-0961
Mailing address:
  • Phone: 425-353-7246
  • Fax: 425-267-0961

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHOOOO2828
License Number StateWA

VIII. Authorized Official

Name: DR. GREGORY BEASLEY
Title or Position: PRESIDENT
Credential: D.C.
Phone: 425-353-7246