Organization
MOMENTUM CLINIC
Active
Other names
Lake Stevens Chiropractic Clin, Lake Stevens Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY JOHNSON (OFFICE MANAGER)
(425) 334-5066
Entity
Organization
Contact information
Practice address
905 SR 9, LAKE STEVENS, WA 98258-9484
(425) 334-5066
(425) 335-4787
Mailing address
905 SR 9, LAKE STEVENS, WA 98258-9484
(425) 334-5066
(425) 335-4787
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2041757
—
WA
Enumeration date
12/06/2022
Last updated
12/06/2022
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