Healthcare Provider Details
I. General information
NPI: 1568372597
Provider Name (Legal Business Name): NEWMAN FAMILY CHIROPRACTIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2211 JEFFERSON ST
SHELTON WA
98584-1929
US
IV. Provider business mailing address
2211 JEFFERSON ST
SHELTON WA
98584-1929
US
V. Phone/Fax
- Phone: 360-426-3886
- Fax:
- Phone: 360-426-3886
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MITCHELL
NEWMAN
Title or Position: OWNER
Credential: DC
Phone: 360-426-3886