Organization
JWSC PLLC
Active
Other names
Squak Mountain Chiropractic & Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL SOUTHWELL DC (OWNER)
(425) 444-4833
Entity
Organization
Contact information
Practice address
1275 12TH AVE NW STE 1A, ISSAQUAH, WA 98027-8119
(425) 444-4833
Mailing address
4116 NE 6TH PL, RENTON, WA 98059-4723
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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