Healthcare Provider Details

I. General information

NPI: 1467059212
Provider Name (Legal Business Name): ANDERSON CHIROPRACTIC CORPORATION, P.S.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2020
Last Update Date: 03/07/2024
Certification Date: 03/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7121 27TH ST W
UNIVERSITY PLACE WA
98466-4623
US

IV. Provider business mailing address

6720 REGENTS BLVD STE 108
UNIVERSITY PLACE WA
98466-5400
US

V. Phone/Fax

Practice location:
  • Phone: 253-566-4744
  • Fax: 253-566-6744
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. SETH ANDERSON
Title or Position: PRESIDENT
Credential: DC
Phone: 253-566-4744