person
Dr. Jack Orville Kantola, DC
Chiropractor in Puyallup, Washington
NPI 1922321330

Jack Orville Kantola is a Chiropractor based in Puyallup, WA. Jack Orville Kantola practices in Puyallup, WA and has the professional credentials of DC. The NPI Number for Jack Orville Kantola is 1922321330 and holds a License No. CH00001612 (Washington).

The current practice location address for Jack Orville Kantola is 12815 Canyon Rd E Ste K, Puyallup, WA and can be reached out via phone at 253-539-9411 and via fax at 253-883-2747.

Location: 12815 Canyon Rd E Ste K, Puyallup, WA, 98373-5104
person
Provider Profile Details
NPI Number
1922321330
Provider Name
Jack Orville Kantola
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
12815 Canyon Rd E Ste K, Puyallup, WA, 98373-5104
Phone Number
253-539-9411
Fax Number
253-883-2747
Provider Enumeration Date
03/12/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12815 Canyon Rd E Ste K
City
State
Zip
98373-5104
Phone Number
253-539-9411
Fax Number
253-883-2747
person
Provider Business Mailing Address Details
Address
12815 Canyon Rd E Ste K
City
State
Zip
98373-5104
Phone Number
253-539-9411
Fax Number
253-883-2747
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
CH00001612 (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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