Organization
FUNCTIONAL HEALTH CONSULTING, LLC
Active
Parent organization
FUNCTIONAL HEALTH CONSULTING, LLC
Other names
Vida Intagrated Health, Vida Integrated Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
FUNCTIONAL HEALTH CONSULTING, LLC
Authorized official
DEBBIE TROXLER (CREDENTIALING SPECIALIST)
(425) 355-5222
Entity
Organization
Contact information
Practice address
11901 NE VILLAGE PLAZA, SUITE 261, KIRKLAND, WA 98034-5092
(425) 814-2800
(425) 823-0882
Mailing address
15 SW EVERETT MALL WAY STE G, EVERETT, WA 98204-2715
(425) 355-5222
(425) 355-5231
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0395155
WA DEPT OF LNI
WA
Enumeration date
07/16/2018
Last updated
08/18/2023
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