Organization
PUYALLUP CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN LYNN TERRY DC (OWNER DOCTOR)
(253) 845-0543
Entity
Organization
Contact information
Practice address
111 EAST STEWART AVE, PUYALLUUP, WA 98372
(253) 845-0543
(253) 848-6788
Mailing address
111 EAST STEWART AVE, PUYALLUP, WA 98372
(253) 845-0543
(253) 848-6788
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00002891
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TE6127
REGENCE BLUE SHIELD
WA
Enumeration date
11/29/2006
Last updated
01/16/2008
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