Organization
PRO-FORM CHIROPRACTIC AND SPORTS INJURY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS PETRINI DC (CHIROPRACTOR/OWNER)
(206) 705-3088
Entity
Organization
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
—
—
Other
Enumeration date
10/14/2021
Last updated
01/08/2025
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