Organization
SPINE AND SPORT CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK NYREN DC (OWNER/CHIROPRACTOR)
(253) 507-7564
Entity
Organization
Contact information
Practice address
8520 STEILACOOM BLVD SW STE 101, LAKEWOOD, WA 98498-4773
(253) 507-7564
(253) 625-7241
Mailing address
8520 STEILACOOM BLVD SW STE 101, LAKEWOOD, WA 98498-4773
(253) 507-7564
(253) 625-7241
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
01/02/2019
Last updated
07/18/2019
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