MEDICARE: DR. MICK L. TIEGS D.C.

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	111N00000X	Chiropractor	CHIA-1056	ID

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	109367	OTHER	WA	LABOR & INDUSTRIES
2	TI5132	OTHER	WA	REGENCE BLUE SHIELD

General Provider Information

NPI Number	:	1497750350
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICK L. TIEGS D.C.

Provider Business Mailing Address
First Line	:	2301 N 36TH ST
Second Line	:
City	:	BOISE
State	:	ID
Zip	:	83703-5207
Country	:	US
Telephone Number	:	208-331-3100
Fax Number	:	208-344-5277

Provider Business Practice Location Address
First Line	:	9455 35TH AVE SW
Second Line	:	STE E
City	:	SEATTLE
State	:	WA
Zip	:	98126-3898
Country	:	US
Telephone Number	:	206-932-8320
Fax Number	:	206-932-6941

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	02/19/2008

Similar Medicare Providers

1225012768 — DR. ERIC RYAN LOBERG D.C.
Practice Location Address:

9455 35TH AVE SW , SUITE E
SEATTLE, WA
98126-3898

Practice Phone: 206-932-8320
Practice Fax: 206-932-6941

1457490542 — 35TH AVENUE CHIROPRACTIC PLLC
Practice Location Address:

9455 35TH AVE SW , SUITE E
SEATTLE, WA
98126-3898

Practice Phone: 206-932-8320
Practice Fax: 206-932-6941

1578843082 — ADRIEL JEANNE STEWART LMP
Practice Location Address:

9455 35TH AVE SW STE E
SEATTLE, WA
98126-3898

Practice Phone: 206-932-8320
Practice Fax:

1295111722 — JAMIE BOYLE LMP
Practice Location Address:

9455 35TH AVE SW , SUITE E
SEATTLE, WA
98126-3898

Practice Phone: 206-932-8320
Practice Fax: 206-932-6941

1184237083 — ALIKA HOLOKAHIKI SALLAS DC
Practice Location Address:

9455 35TH AVE SW
SEATTLE, WA
98126-3898

Practice Phone: 206-932-8320
Practice Fax:

1174376602 — SALLAS CHIROPRACTIC LLC
Practice Location Address:

9455 35TH AVE SW STE E
SEATTLE, WA
98126-3898

Practice Phone: 206-713-0312
Practice Fax: 206-932-6941

Directions to “ DR. MICK L. TIEGS D.C.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.