Organization
VITALITY CHIROPRACTIC CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH HAROLD KIESWETTER II LMP (MASSAGE PRACTITIONER)
(425) 378-1800
Entity
Organization
Contact information
Practice address
12811 SE 38TH ST, BELLEVUE, WA 98006-1326
(425) 378-1800
(425) 746-1587
Mailing address
12811 SE 38TH ST, BELLEVUE, WA 98006-1326
(425) 378-1800
(425) 746-1587
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
MA00025081
WA
Other
Enumeration date
06/06/2008
Last updated
06/06/2008
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