Healthcare Provider Details

I. General information

NPI: 1942435482
Provider Name (Legal Business Name): ACCIDENT AND INJURY CARE, PS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2009
Last Update Date: 09/26/2022
Certification Date: 09/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1916 23RD AVE S STE B
SEATTLE WA
98144-4616
US

IV. Provider business mailing address

1916 23RD AVE S STE B
SEATTLE WA
98144-4616
US

V. Phone/Fax

Practice location:
  • Phone: 206-362-3344
  • Fax: 206-362-3444
Mailing address:
  • Phone: 206-362-3344
  • Fax: 206-362-3444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code172M00000X
TaxonomyMechanotherapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. KEVIN JOHN MARTIN
Title or Position: OWNER
Credential: D.C.
Phone: 206-362-3344