Organization
COULEE CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYRONE THOMAS TREXLER D.C. (PRESIDENT)
(509) 632-8668
Entity
Organization
Contact information
Practice address
130 N ADAMS, COULEE CITY, WA 99115
(509) 632-8668
(509) 632-5761
Mailing address
PO BOX 817, COULEE CITY, WA 99115-0817
(509) 632-8668
(509) 632-5761
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034180
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30
L&I GROUP
WA
01
—
DD9288
RAILROAD MEDICARE
WA
Enumeration date
07/31/2007
Last updated
10/10/2007
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