Healthcare Provider Details

I. General information

NPI: 1164796843
Provider Name (Legal Business Name): APT CHIROPRACTIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2012
Last Update Date: 02/28/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

744 MARKET ST UNIT 102A
TACOMA WA
98402-3700
US

IV. Provider business mailing address

744 MARKET ST UNIT 102A
TACOMA WA
98402-3700
US

V. Phone/Fax

Practice location:
  • Phone: 253-272-9500
  • Fax: 253-272-9501
Mailing address:
  • Phone: 253-272-9500
  • Fax: 253-272-9501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH00003648
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA00024516
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA00023366
License Number StateWA

VIII. Authorized Official

Name: DR. AARON P TOLER
Title or Position: OWNER
Credential: DC
Phone: 253-272-9500