Individual
ZACK TYLER CORNELIUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
7010 WOODLAWN AVE NE, SEATTLE, WA 98115-5433
(206) 517-5433
Mailing address
2037 BOYLSTON AVE E APT 21, SEATTLE, WA 98102-3564
(406) 939-4510
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7191
MN
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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