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Mark D Rutherford, DC
Chiropractor in Lakewood, Washington
NPI 1700377892

Mark D Rutherford is a Chiropractor based in Tacoma, WA. Mark D Rutherford practices in Lakewood, WA and has the professional credentials of DC. The NPI Number for Mark D Rutherford is 1700377892 and holds a License No. CH00002419 (Washington).

The current practice location address for Mark D Rutherford is 11122 Gravelly Lake Dr Sw, Lakewood, WA and can be reached out via phone at 253-355-8156 and via fax at 206-923-7601.

Location: 11122 Gravelly Lake Dr Sw, Lakewood, WA, 98409-2348
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700377892
Provider Name
Mark D Rutherford
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
11122 Gravelly Lake Dr Sw, Lakewood, WA, 98409-2348
Phone Number
253-355-8156
Fax Number
206-923-7601
Provider Enumeration Date
05/23/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1922455161 01 WA NPI
institution
Provider Business Practice Location Address Details
Address
11122 Gravelly Lake Dr Sw
City
Lakewood
State
Washington
Zip
98499-1348
Phone Number
253-355-8156
Fax Number
206-923-7601
person
Provider Business Mailing Address Details
Address
11122 Gravelly Lake Dr Sw
City
Lakewood
State
Washington
Zip
98499-1348
Phone Number
253-355-8156
Fax Number
206-923-7601
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CH00002419 (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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