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Fairwood Chiropractic Clinic
Chiropractor in Renton, Washington
NPI 1558586487

Fairwood Chiropractic Clinic is a Chiropractor based in Renton, WA. Fairwood Chiropractic Clinic practices in Renton, WA. The NPI Number for Fairwood Chiropractic Clinic is 1558586487 and holds a License No. CH00001828 (Washington).

The current practice location address for Fairwood Chiropractic Clinic is 14410 Se Petrovitsky Rd, Renton, WA and can be reached out via phone at 425-226-1856 and via fax at 425-226-0231.

Location: 14410 Se Petrovitsky Rd, Renton, WA, 98058-8900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558586487
Provider Name
Fairwood Chiropractic Clinic
Credential
Provider Entity Type
Organization
Address
14410 Se Petrovitsky Rd, Renton, WA, 98058-8900
Phone Number
425-226-1856
Fax Number
425-226-0231
Provider Enumeration Date
04/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00070121 01 RAILROAD MEDICARE
122123 01 WA WA ST L & I
institution
Provider Business Practice Location Address Details
Address
14410 Se Petrovitsky Rd
City
Renton
State
Washington
Zip
98058-8900
Phone Number
425-226-1856
Fax Number
425-226-0231
person
Provider Business Mailing Address Details
Address
14410 Se Petrovitsky Rd
City
Renton
State
Washington
Zip
98058-8900
Phone Number
425-226-1856
Fax Number
425-226-0231
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CH00001828 (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.
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