Organization
MINDBODY MEDICINE PC
Active
Other names
Wedgwood Center for Natural Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN RICHARD CHEVIGNY DC (CLINIC DIRECTOR)
(206) 523-9000
Entity
Organization
Contact information
Practice address
2705 NE 65TH ST, SEATTLE, WA 98115-7129
(206) 523-9000
(206) 523-5566
Mailing address
2028 43RD AVE E APT 2-4, SEATTLE, WA 98112-2758
(206) 660-6085
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH60522163
WA
111NR0400X
Rehabilitation Chiropractor
CH60522163
WA
111NS0005X
Sports Physician Chiropractor
CH60522163
WA
171100000X
Acupuncturist
—
—
225700000X
Massage Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669860052
NPI
WA
Enumeration date
04/06/2018
Last updated
06/16/2018
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