Organization
SEATTLE BACK CLINIC P.S.INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD LEE HAYNES D.C. (PRESIDENT)
(206) 325-1575
Entity
Organization
Contact information
Practice address
2041 E MADISON ST, SEATTLE, WA 98122-2959
(206) 325-1575
(206) 328-0514
Mailing address
2041 E MADISON ST, SEATTLE, WA 98122-2959
(206) 325-1575
(106) 328-0514
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00001606
WA
Other
Enumeration date
07/01/2010
Last updated
07/01/2010
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