Individual
DR. JOHN A WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C., P.S.
Contact information
Practice address
12950 SE KENT KANGLEY RD, KENT, WA 98030-7940
(253) 630-9395
Mailing address
11027 SE KENT KANGLEY RD, KENT, WA 98030-7205
(253) 630-9395
(253) 639-2219
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2460
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2012235
—
WA
05
—
8405029
—
WA
01
—
912094840
TAX ID
WA
Enumeration date
02/21/2007
Last updated
03/20/2020
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