Organization
THOMAS G REARDON D.C. P.S.
Active
Other names
The Back Doctor
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS REARDON D.C. (P.S.)
(425) 277-4098
Entity
Organization
Contact information
Practice address
1717 NE 44TH ST, SUITE G, RENTON, WA 98056-9001
(425) 277-4098
(425) 277-8239
Mailing address
1717 NE 44TH ST, SUITE G, RENTON, WA 98056-9001
(425) 277-4098
(425) 277-8239
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00002695
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39743
DEP. OF L & I
WA
01
—
RE2839
REGENCE BLUE SHIELD
WA
Enumeration date
01/09/2007
Last updated
10/22/2007
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