Organization
LIFESTYLE CHIROPRACTIC PLLC
Active
Other names
South Hill Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN LEALE DC (OWNER)
(253) 682-7878
Entity
Organization
Contact information
Practice address
609 39TH AVE SW, PUYALLUP, WA 98373-5917
(253) 848-6626
(253) 770-1243
Mailing address
609 39TH AVE SW, PUYALLUP, WA 98373-5917
(253) 848-6626
(253) 770-1243
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073987285
NPPES
WA
Enumeration date
01/04/2024
Last updated
01/04/2024
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