Individual provider · Type 1 NPI

Kirk W. Petheram, DC

Chiropractor · Bainbridge Island, WA

NPI number 1770613580 Active

Practice location

701 Winslow Way E Ste B
Bainbridge Island, WA 98110-2416

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X3554 (WA)
Chiropractor 111N00000X22433 (CA)

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.

6 other providers at this address

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About NPI 1770613580

Kirk W. Petheram, DC's National Provider Identifier is 1770613580, issued on Mar 7, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Bainbridge Island, WA. The record was last updated on Jan 12, 2012.