Healthcare Provider Details

I. General information

NPI: 1538603238
Provider Name (Legal Business Name): INTELLIGENT BALANCE CHIROPRACTIC SPINAL CARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2016
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2310 N MOLTER RD STE 108
LIBERTY LAKE WA
99019-8621
US

IV. Provider business mailing address

2310 N MOLTER RD STE 108
LIBERTY LAKE WA
99019-8621
US

V. Phone/Fax

Practice location:
  • Phone: 509-924-4443
  • Fax: 509-924-1249
Mailing address:
  • Phone: 509-924-4443
  • Fax: 509-924-1249

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY S WHITE
Title or Position: MEMBER, OWNER
Credential: DC
Phone: 509-924-4443