Healthcare Provider Details

I. General information

NPI: 1851240956
Provider Name (Legal Business Name): GILL CHIROPRACTIC DBA PREMIER CHIROPRACTIC #7
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2026
Last Update Date: 01/23/2026
Certification Date: 01/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17620 140TH AVE SE STE C5
RENTON WA
98058-6813
US

IV. Provider business mailing address

17620 140TH AVE SE STE C5
RENTON WA
98058-6813
US

V. Phone/Fax

Practice location:
  • Phone: 206-619-4455
  • Fax:
Mailing address:
  • Phone: 206-619-4455
  • Fax:

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: GURPREET S GILL
Title or Position: CHIROPRACTOR
Credential: D.C
Phone: 206-619-4455