Organization
PETRILLI CHIROPRACTIC SERVICES PS
Active
Other names
Chiropractic Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT J PETRILLI D.C. (PRESIDENT)
(253) 852-8640
Entity
Organization
Contact information
Practice address
11014 SE 192ND ST, RENTON, WA 98055-7432
(253) 852-8640
(253) 854-2690
Mailing address
11014 SE 192ND ST, RENTON, WA 98055-7432
(253) 852-8640
(253) 854-2690
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43666
L&I GROUP NUMBER
WA
Enumeration date
04/18/2007
Last updated
12/15/2014
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