Organization
REDMOND BACK & NECK CARE CLINIC
Active
Other names
Redmond Back & Neck Pain Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON T WAGENER DEWOLF DC (PROVIDER/OWNER)
(425) 885-9950
Entity
Organization
Contact information
Practice address
16440 NE 85TH ST, REDMOND, WA 98052-3613
(425) 885-9950
(425) 895-9766
Mailing address
16440 NE 85TH ST, REDMOND, WA 98052-3613
(425) 885-9950
(425) 895-9766
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
08/01/2019
Last updated
12/02/2020
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