Healthcare Provider Details

I. General information

NPI: 1023901568
Provider Name (Legal Business Name): VIBRANT LIFE CHIROPRACTIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2025
Last Update Date: 02/10/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 ALDER AVE STE 201
SUMNER WA
98390-1401
US

IV. Provider business mailing address

920 ALDER AVE STE 201
SUMNER WA
98390-1401
US

V. Phone/Fax

Practice location:
  • Phone: 253-863-9695
  • Fax:
Mailing address:
  • Phone: 253-863-9695
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code111NP0017X
TaxonomyPediatric Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. CHERIS PARESA
Title or Position: CEO
Credential: DC
Phone: 253-863-9695