Organization
CHITTENDEN CHIROPRACTIC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN JOHN CHITTENDEN D.C. (PRESIDENT)
(253) 581-1533
Entity
Organization
Contact information
Practice address
8905 GRAVELLY LAKE DR SW, LAKEWOOD, WA 98499-3109
(253) 581-1533
(253) 588-2145
Mailing address
8905 GRAVELLY LAKE DR SW, LAKEWOOD, WA 98499-3109
(253) 581-1533
(253) 588-2145
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2148
WA
Other
Enumeration date
02/18/2011
Last updated
04/28/2011
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