Organization
WESTSIDE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARILYN KAVANAUGH DC (OWNER)
(206) 937-8866
Entity
Organization
Contact information
Practice address
5400 CALIFORNIA AVE SW, SUITE F, SEATTLE, WA 98136-1501
(206) 937-8866
(206) 937-8869
Mailing address
5400 CALIFORNIA AVE SW, SUITE F, SEATTLE, WA 98136-1501
(206) 937-8866
(206) 937-8869
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH34316
WA
225700000X
Massage Therapist
MA20985
WA
225700000X
Massage Therapist
—
—
Other
Enumeration date
01/23/2010
Last updated
01/23/2010
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