Organization
OLYMPIC SPINE AND SPORTS THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE SHELLEY (OFFICE MANAGER)
(425) 774-2411
Entity
Organization
Contact information
Practice address
6603 220TH ST SW, STE 102, MOUNTLAKE TERRACE, WA 98043-2186
(425) 774-2411
(425) 672-7065
Mailing address
6603 220TH ST SW, STE 102, MOUNTLAKE TERRACE, WA 98043-2186
(425) 774-2411
(425) 672-7065
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00001890
WA
Other
Enumeration date
11/28/2007
Last updated
03/22/2017
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