Organization
SOUND SPORT AND SPINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON THOMAS LESTER DC (OWNER/ CHIROPRACTIC PHYSICIAN)
(360) 386-1144
Entity
Organization
Contact information
Practice address
1730 SE MILE HILL DR, PORT ORCHARD, WA 98366-3512
(360) 386-1144
(360) 300-2700
Mailing address
3119 CHIVE PL SE, PORT ORCHARD, WA 98366-2321
(360) 386-1144
(360) 300-2700
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033657010
INDIVIDUAL NPI
WA
Enumeration date
07/08/2022
Last updated
08/08/2022
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