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Individual

DR. TERRY WILLARD COTTRELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
140 6TH AVE NE, ISSAQUAH, WA 98027-3341
(425) 392-9490
(425) 427-6401
Mailing address
6520 226TH PL SE, SUITE# 203, ISSAQUAH, WA 98027-8969
(425) 392-9490
(425) 427-6401

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00002014
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CH00002014
CHIROPRACTIC LICENSE
WA
Enumeration date
05/08/2007
Last updated
06/30/2022
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