Organization
LAKE TAPPS CHIROPRACTIC CENTER, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL W ANDERSON D.C. (OWNER)
(253) 862-2138
Entity
Organization
Contact information
Practice address
21157 STATE ROUTE 410 E, BONNEY LAKE, WA 98391-8457
(253) 862-2138
Mailing address
PO BOX 1549, BUCKLEY, WA 98321-1549
(253) 862-2138
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00002318
WA
Other
Enumeration date
02/14/2007
Last updated
08/22/2020
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