Organization
BODLE CHIROPRACTIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SARINA BALLARD (EXECUTIVE ADMINISTRATIVE ASSISTANT)
(206) 824-8464
Entity
Organization
Contact information
Practice address
22312 MARINE VIEW DR S, DES MOINES, WA 98198-6832
(206) 824-8464
(206) 824-8470
Mailing address
22312 MARINE VIEW DR S, DES MOINES, WA 98198-6832
(206) 824-8464
(206) 824-8470
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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