Organization
MIDWAY HEALTHCARE THERAPEUTICS LLC
Active
Parent organization
MIDWAY HEALTHCARE THERAPEUTICS LLC
Other names
FAIRWOOD CHIROPRACTIC CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDWAY HEALTHCARE THERAPEUTICS LLC
Authorized official
MR. TALLON NISHIHATA (GENERAL OPERATIONS)
(206) 824-9500
Entity
Organization
Contact information
Practice address
14410 SE PETROVITSKY RD STE 109, RENTON, WA 98058-8900
(425) 226-1856
(425) 226-0231
Mailing address
14410 SE PETROVITSKY RD STE 109, RENTON, WA 98058-8900
(425) 226-1856
(425) 226-0231
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
171100000X
Acupuncturist
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
12/26/2019
Last updated
01/23/2020
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