MEDICARE: DR. HALI CARSON ENDERBY DC

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	CH60722826	WA
2	111N00000X	Chiropractor	X012889-1	NY

General Provider Information

NPI Number	:	1811436363
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HALI CARSON ENDERBY DC

Provider Business Mailing Address
First Line	:	5340 S 140TH ST
Second Line	:
City	:	TUKWILA
State	:	WA
Zip	:	98168-4563
Country	:	US
Telephone Number	:	607-705-3093
Fax Number	:	844-888-0246

Provider Business Practice Location Address
First Line	:	7853 SE 27TH ST UNIT 284
Second Line	:
City	:	MERCER ISLAND
State	:	WA
Zip	:	98040-2982
Country	:	US
Telephone Number	:	206-705-3093
Fax Number	:	844-888-0246

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

Provider Enumeration Date	:	02/16/2017
Last Update Date	:	05/12/2026

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Directions to “ DR. HALI CARSON ENDERBY DC” Practice Location

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