Organization
MICHAEL CHURCH
Active
Other names
Church Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL L CHURCH DC (OWNER)
(253) 841-4425
Entity
Organization
Contact information
Practice address
510 E MAIN AVE STE A, PUYALLUP, WA 98372-5612
(253) 841-4425
(253) 445-5712
Mailing address
510 E MAIN AVE STE A, PUYALLUP, WA 98372-5612
(253) 841-4425
(253) 445-5712
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH3323
WA
225700000X
Massage Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
169571
GROUP WORKERS COMP
WA
Enumeration date
02/07/2008
Last updated
02/07/2008
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