Healthcare Provider Details

I. General information

NPI: 1154474708
Provider Name (Legal Business Name): SEAN FLAHERTY D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 06/23/2022
Certification Date: 06/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6615 6TH AVE
TACOMA WA
98406-2027
US

IV. Provider business mailing address

6615 6TH AVE
TACOMA WA
98406-2027
US

V. Phone/Fax

Practice location:
  • Phone: 253-565-2225
  • Fax: 253-565-7110
Mailing address:
  • Phone: 253-565-2225
  • Fax: 532-565-7110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH00034265
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: