Individual
CASEY CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2630 77TH AVE SE STE 102, MERCER ISLAND, WA 98040-3085
(206) 946-1192
Mailing address
PO BOX 700688, SAN ANTONIO, TX 78270-0688
(800) 404-6050
(866) 313-3397
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
15193
TX
111N00000X
Chiropractor
Primary
CH61489169
WA
111N00000X
Chiropractor
CHR.0008134
CO
111N00000X
Chiropractor
DC36135
CA
111NR0400X
Rehabilitation Chiropractor
15193
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15193
CHIROPRACTIC LICENSE
TX
01
—
CH61489169
CHIROPRACTIC LICENSE
WA
01
—
DC36135
CHIROPRACTIC LICENSE
CA
Enumeration date
01/08/2020
Last updated
06/29/2025
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