Healthcare Provider Details

I. General information

NPI: 1598173700
Provider Name (Legal Business Name): SCHOFIELD CHIROPRACTIC & MASSAGE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2014
Last Update Date: 07/31/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2210 S 320TH ST A-3
FEDERAL WAY WA
98003-5620
US

IV. Provider business mailing address

2210 S 320TH ST A-3
FEDERAL WAY WA
98003-5620
US

V. Phone/Fax

Practice location:
  • Phone: 253-946-4524
  • Fax: 253-946-1527
Mailing address:
  • Phone: 253-946-4524
  • Fax: 253-946-1527

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: EILEEN A SCHOFIELD
Title or Position: OWNER
Credential: DC
Phone: 253-946-4524