Organization
CHIROPRACTIC SPORTS & FAMILY HEALTH CENTER, P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN KVATERNIK (OFFICE MANAGER)
(360) 438-9609
Entity
Organization
Contact information
Practice address
7267 MARTIN WAY E, OLYMPIA, WA 98516-5534
(360) 438-9609
(360) 456-7380
Mailing address
7267 MARTIN WAY E, OLYMPIA, WA 98516-5534
(360) 438-9609
(360) 456-7380
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
025202 CH00002200
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0190622
WORKERS COMPENSATION
WA
05
—
2007748
—
WA
Enumeration date
09/28/2007
Last updated
11/15/2007
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