MEDICARE: CHIROPRACTIC TRANSFORMATIONS, PLLC

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

General Provider Information

NPI Number	:	1700441938
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHIROPRACTIC TRANSFORMATIONS, PLLC

Provider Business Mailing Address
First Line	:	2351 10TH AVE E STE A
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98102-4009
Country	:	US
Telephone Number	:	206-487-4884
Fax Number	:	206-492-2023

Provider Business Practice Location Address
First Line	:	2351 10TH AVE E STE A
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98102-4009
Country	:	US
Telephone Number	:	206-487-4884
Fax Number	:	206-492-2023

Authorized Official
Title or Position	:	OWNER/CHIROPRACTOR
Name	:	DR. MICHAEL JOHN PIRAK
Credential	:	DC
Telephone Number	:	206-487-4884

Provider Enumeration Date	:	05/02/2019
Last Update Date	:	05/02/2019

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