Individual
MRS. STEPHANIE LOUISE GREENREICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
24837 104TH AVE SE, SUITE 100, KENT, WA 98030-6800
(253) 854-7700
(253) 854-2986
Mailing address
24837 104TH AVE SE, SUITE 100, KENT, WA 98030-6800
(253) 854-7700
(253) 854-2986
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00033796
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GAB37373
MEDICARE PTAN
WA
Enumeration date
03/12/2007
Last updated
03/24/2011
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