Organization
MOVEMENT CHIROPRACTIC AND MASSAGE, LLC
Active
Other names
Riverside Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORDAN SCOTT THAANUM D.C. (CHIROPRACTOR)
(253) 820-7746
Entity
Organization
Contact information
Practice address
603 HUNT AVE, SUMNER, WA 98390-1117
(253) 863-0855
(253) 826-0511
Mailing address
603 HUNT AVE, SUMNER, WA 98390-1117
(253) 863-0855
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
111NP0017X
Pediatric Chiropractor
—
—
111NR0200X
Radiology Chiropractor
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
12/14/2019
Last updated
12/14/2019
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