Organization
SKY CHIROPRACTIC AND MASSAGE PS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SKY BOULOM DC (PRESIDENT)
(425) 773-8553
Entity
Organization
Contact information
Practice address
757 RAINIER AVE S STE 3, RENTON, WA 98057-3200
(425) 255-5886
Mailing address
710A S 38TH ST, TACOMA, WA 98418-6718
(253) 830-6899
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 00003526
WA
225700000X
Massage Therapist
MA60769473
WA
Other
Enumeration date
04/30/2014
Last updated
03/17/2018
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