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Nickolas Kc Cruz, DC
Student in an Organized Health Care Education/Training Program in Kent, Washington
NPI 1164008462

Nickolas Kc Cruz is a Student in an Organized Health Care Education/Training Program based in East Olympia, WA. Nickolas Kc Cruz practices in Kent, WA and has the professional credentials of DC. The NPI Number for Nickolas Kc Cruz is 1164008462 and holds a License No. CH61175811 (Washington).

The current practice location address for Nickolas Kc Cruz is 12901 Se Kent Kangley Rd, Kent, WA and can be reached out via phone at 253-630-1575.

Location: 12901 Se Kent Kangley Rd, Kent, WA, 98540-0380
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164008462
Provider Name
Nickolas Kc Cruz
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
12901 Se Kent Kangley Rd, Kent, WA, 98540-0380
Phone Number
253-630-1575
Fax Number
Provider Enumeration Date
03/18/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12901 Se Kent Kangley Rd
City
Kent
State
Washington
Zip
98030-7939
Phone Number
253-630-1575
Fax Number
person
Provider Business Mailing Address Details
Address
12901 Se Kent Kangley Rd
City
Kent
State
Washington
Zip
98030-7939
Phone Number
253-630-1575
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
(Washington)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
CH61175811 (Washington)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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