Healthcare Provider Details

I. General information

NPI: 1922274315
Provider Name (Legal Business Name): LAWRENCE ALAN THOMAS DC PS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2008
Last Update Date: 04/06/2021
Certification Date: 04/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 BOYLSTON AVE STE A
SEATTLE WA
98101
US

IV. Provider business mailing address

1101 BOYLSTON AVE STE A
SEATTLE WA
98101-2818
US

V. Phone/Fax

Practice location:
  • Phone: 206-623-5202
  • Fax:
Mailing address:
  • Phone: 206-623-5202
  • 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: LAWRENCE A THOMAS
Title or Position: PRESIDENT
Credential: DC
Phone: 206-623-5202