Organization
CREEKSIDE CHIROPRACTIC AND MASSAGE, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISSA A GRANNIS D.C (OWNDER, D.C.)
(253) 588-1800
Entity
Organization
Contact information
Practice address
6210 75TH ST W, SUITE A-100, LAKEWOOD, WA 98499-8101
(253) 588-1800
(253) 588-8781
Mailing address
6210 75TH ST W, SUITE A-100, LAKEWOOD, WA 98499-8101
(253) 588-1800
(253) 588-8781
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
07/10/2008
Last updated
07/16/2012
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