Organization
ELLENSBURG SPORT AND SPINE, LLC
Active
Other names
Clark Chiropractic and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DILLON T CLARK DC (OWNER/AUTHORIZED OFFICIAL)
(360) 791-6226
Entity
Organization
Contact information
Practice address
314 N PINE ST, ELLENSBURG, WA 98926-3366
(360) 791-6226
Mailing address
314 N PINE ST, ELLENSBURG, WA 98926-3366
(360) 791-6226
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
09/28/2021
Last updated
05/06/2022
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