Organization
ADVANCED CHIROPRACTIC REHABILITATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE THOMAS BLEVINS DC (PRESIDENT)
(360) 426-6325
Entity
Organization
Contact information
Practice address
422 N 1ST ST, SHELTON, WA 98584-3410
(360) 426-6325
Mailing address
PO BOX 1975, SHELTON, WA 98584-5030
(360) 426-6325
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034351
WA
Other
Enumeration date
11/24/2009
Last updated
11/24/2009
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