Healthcare Provider Details

I. General information

NPI: 1518785872
Provider Name (Legal Business Name): WHALEN FAMILY CHIROPRACTIC CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2024
Last Update Date: 09/26/2024
Certification Date: 09/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N MULLAN RD STE 103
SPOKANE VALLEY WA
99206-6848
US

IV. Provider business mailing address

100 N MULLAN RD STE 103
SPOKANE VALLEY WA
99206-6848
US

V. Phone/Fax

Practice location:
  • Phone: 509-777-2225
  • Fax: 509-777-2227
Mailing address:
  • Phone: 509-777-2225
  • Fax: 509-777-2227

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: AARON WHALEN
Title or Position: OWNER
Credential: DC
Phone: 509-710-9664