Organization
MIRACLE MILE CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTINA L MILLS DC (OWNER)
(360) 330-1312
Entity
Organization
Contact information
Practice address
1102 KRESKY AVE, CENTRALIA, WA 98531-3732
(360) 330-1312
(360) 330-1320
Mailing address
110 HAM RD, CENTRALIA, WA 98531-5202
(360) 330-1312
(360) 330-1320
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH00034048
WA
111N00000X
Chiropractor
Primary
CH00034049
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0165763
KRISTINA MILLS L&I
WA
01
—
0165764
GROUP L&I
WA
01
—
0165765
CHAD MILLS L&I
WA
05
—
8349722
—
WA
05
—
8349730
—
WA
01
—
8869221
CORP PIN
WA
01
—
8869913
CHADS MEDICARE PTAN
WA
01
—
8870107
KRISTINA MEDICARE
WA
01
—
8903893
L&I CRIME CHAD MILLS DC
WA
01
—
DB2803
GROUP MEDICARE RAILROAD
WA
01
—
P00096548
CHAD MILLS DC RAILROAD
WA
Enumeration date
02/27/2007
Last updated
04/18/2008
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