MEDICARE: ALL STAR CHIROPRACTIC & MASSAGE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	MA00021246	WA

General Provider Information

NPI Number	:	1457577926
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL STAR CHIROPRACTIC & MASSAGE

Provider Business Mailing Address
First Line	:	9 LAKE BELLEVUE DR
Second Line	:	SUITE 113
City	:	BELLEVUE
State	:	WA
Zip	:	98005-2454
Country	:	US
Telephone Number	:	425-635-0544
Fax Number	:	425-450-0365

Provider Business Practice Location Address
First Line	:	9 LAKE BELLEVUE DR
Second Line	:	SUITE 113
City	:	BELLEVUE
State	:	WA
Zip	:	98005-2454
Country	:	US
Telephone Number	:	425-635-0544
Fax Number	:	425-450-0365

Authorized Official
Title or Position	:	CHIROPRACTIC
Name	:	DR. THOMAS C SCHWARTZ
Credential	:	D.C
Telephone Number	:	425-635-0544

Provider Enumeration Date	:	04/17/2007
Last Update Date	:	09/22/2016

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