Healthcare Provider Details
I. General information
NPI: 1235397274
Provider Name (Legal Business Name): CHRISTINE YVETTE ZAPATA D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/27/2008
Last Update Date: 12/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1222 E MADISON ST SUITE D
SEATTLE WA
98122-3909
US
IV. Provider business mailing address
1222 E MADISON ST SUITE D
SEATTLE WA
98122-3909
US
V. Phone/Fax
- Phone: 206-204-8255
- Fax: 206-204-8259
- Phone: 206-204-8255
- Fax: 206-204-8259
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | DC30595 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | CH60077573 |
| License Number State | WA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: