Individual
DR. NICHOLAS DAVID PETRINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4041 ROOSEVELT WAY NE, STE 101, SEATTLE, WA 98105-6579
(203) 312-3894
Mailing address
5534 84TH DR NE, MARYSVILLE, WA 98270-8509
(203) 312-3894
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH60647239
WA
111NR0400X
Rehabilitation Chiropractor
CH60647239
WA
111NS0005X
Sports Physician Chiropractor
X012149-1
NY
Other
Enumeration date
01/26/2011
Last updated
10/15/2021
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