Healthcare Provider Details

I. General information

NPI: 1699077974
Provider Name (Legal Business Name): INHEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2010
Last Update Date: 01/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4915 25TH AVE NE SUITE 104 WEST
SEATTLE WA
98105-5667
US

IV. Provider business mailing address

4915 25TH AVE NE SUITE 104 WEST
SEATTLE WA
98105-5667
US

V. Phone/Fax

Practice location:
  • Phone: 206-315-7998
  • Fax:
Mailing address:
  • Phone: 206-315-7998
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License NumberCH00034788
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberCH00034788
License Number StateWA

VIII. Authorized Official

Name: KEVIN RINDAL
Title or Position: PRESIDENT
Credential: DC
Phone: 206-315-7998