Organization
IDEAL MOTION SPINE AND SPORTS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZACHARY ZUGSCHWERDT D.C., CCSP (OWNER)
(206) 858-6667
Entity
Organization
Contact information
Practice address
621 5TH AVE N STE A, SEATTLE, WA 98109-4241
(206) 858-6667
Mailing address
621 5TH AVE N STE A, SEATTLE, WA 98109-4241
(206) 858-6667
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
CH60271312
WA
225700000X
Massage Therapist
MA60293770
WA
Other
Enumeration date
07/26/2017
Last updated
07/21/2022
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