Organization · Type 2 NPI
Tietsort Chiropractic Clinic
Chiropractor · Republic, WA
NPI number
1609179217
Active
Practice location
28 North Keller Street
Republic, WA 99166-0577
Fax (509) 775-3320
Mailing address
P.o. 577
Republic, WA 99166-0577
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CH00001288 (WA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Another provider at this address
About NPI 1609179217
Tietsort Chiropractic Clinic's National Provider Identifier is 1609179217, issued on Dec 21, 2010. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Republic, WA. The record was last updated on Dec 21, 2010.