Organization
HEALTHY LIFE CHIROPRACTIC CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARI L GIBSON D.C. (REGISTERED AGENT)
(206) 595-9616
Entity
Organization
Contact information
Practice address
811 RAINIER ST, SNOHOMISH, WA 98290-2958
(360) 568-8800
(360) 568-0581
Mailing address
811 RAINIER ST, SNOHOMISH, WA 98290-2958
(360) 568-8800
(360) 568-0581
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00033909
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AB26284
MEDICARE PROVIDER #
—
Enumeration date
03/24/2008
Last updated
03/31/2008
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