Healthcare Provider Details

I. General information

NPI: 1326903451
Provider Name (Legal Business Name): PURE CHIROPRACTIC AND MASSAGE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2025
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1067 MEADOW HILLS DR
RICHLAND WA
99352-8661
US

IV. Provider business mailing address

1067 MEADOW HILLS DR
RICHLAND WA
99352-8661
US

V. Phone/Fax

Practice location:
  • Phone: 636-577-5586
  • Fax:
Mailing address:
  • Phone: 636-577-5586
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. PAUL DODSON
Title or Position: MEMBER
Credential: DC
Phone: 636-577-5586