Organization
SUMMIT SPORTS AND SPINE PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB D PERKINS DC (PRESIDENT)
(253) 886-1175
Entity
Organization
Contact information
Practice address
1515 116TH AVE NE STE 202, BELLEVUE, WA 98004-3811
(425) 274-8989
(425) 274-8998
Mailing address
1515 116TH AVE NE STE 202, BELLEVUE, WA 98004-3811
(425) 274-8989
(425) 274-8998
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
CH60023794
WA
Other
Enumeration date
12/08/2015
Last updated
05/18/2016
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