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Organization

LIFE CHIROPRACTIC, PS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FREDERICK DAVID HARDY DC (PRESIDENT)
(253) 874-4141
Entity
Organization

Contact information

Practice address
34507 PACIFIC HWY S, STE 4, FEDERAL WAY, WA 98003-6879
(253) 874-4141
(253) 874-3601
Mailing address
34507 PACIFIC HWY S, STE 4, FEDERAL WAY, WA 98003-6879
(253) 874-4141
(253) 874-3601

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00001214
WA

Other

Enumeration date
04/28/2008
Last updated
04/28/2008
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