Organization
BACK IN MOTION CHIROPRACTIC P.C.
Active
Other names
Back In Motion Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD MICHAEL SORAN D.C. (PRESIDENT)
(360) 357-7585
Entity
Organization
Contact information
Practice address
1115 BLACK LAKE BLVD SW STE A, OLYMPIA, WA 98502-1026
(360) 357-7585
(360) 236-0649
Mailing address
1115 BLACK LAKE BLVD SW STE A, OLYMPIA, WA 98502-1026
(360) 357-7585
(360) 236-0649
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00003654
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125644
INDAVIDUAL L&I
WA
01
—
125645
GROUP L&I
WA
01
—
CH00003654
STATE LICENCE
WA
Enumeration date
06/11/2007
Last updated
06/18/2008
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