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NPI Code Detail

MEDICARE: BOUNCE BACK CHIROPRACTIC AND WELLNESS CENTER

MEDICARE: BOUNCE BACK CHIROPRACTIC AND WELLNESS CENTER
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
1111N00000XChiropractorCH0007491WA

General Provider Information

NPI Number : 1952580201
Entity Type Code : Organization
Provider Name (Legal Business Name) : BOUNCE BACK CHIROPRACTIC AND WELLNESS CENTER
Provider Business Mailing Address
First Line : 6409 E MILL PLAIN BLVD
Second Line :
City : VANCOUVER
State : WA
Zip : 98661-7454
Country : US
Telephone Number : 360-694-1665
Fax Number :
Provider Business Practice Location Address
First Line : 6409 E MILL PLAIN BLVD
Second Line :
City : VANCOUVER
State : WA
Zip : 98661-7454
Country : US
Telephone Number : 360-694-1665
Fax Number :
Authorized Official
Title or Position : DOCTOR
Name : DR. GEOFFREY ANSON ALLEN
Credential : D.C.
Telephone Number : 360-694-1665
Provider Enumeration Date : 11/02/2007
Last Update Date : 02/06/2008

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Directions to “BOUNCE BACK CHIROPRACTIC AND WELLNESS CENTER ” 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.

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