Organization
ELI BENTABOU CHIROPRACTIC & WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELI BENTABOU DC (CHIROPRACTOR)
(360) 331-2225
Entity
Organization
Contact information
Practice address
1705 MAIN ST, FREELAND, WA 98249-9423
(360) 331-2225
Mailing address
1705 MAIN ST, FREELAND, WA 98249-9423
(360) 331-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952549057
NPI 1
CA
Enumeration date
12/29/2020
Last updated
12/29/2020
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