Organization · Type 2 NPI

Midway Healthcare Therapeutics LLC

Chiropractor · Renton, WA

NPI number 1861031684 Active

Practice location

14410 SE Petrovitsky Rd Ste 109
Renton, WA 98058-8900

Fax (425) 226-0231

Specialties and licenses

Taxonomy	Code	License
Chiropractor Primary	111N00000X	None listed
Acupuncturist	171100000X	None listed
Massage Therapist	225700000X	None listed

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.

4 other providers at this address

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NPI record

NPI: 1861031684
Entity type: Organization (Type 2)
Issued: Dec 26, 2019
Last updated: Jan 23, 2020
Status: Active
Subpart: Yes of Midway Healthcare Therapeutics LLC

Other names

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Fairwood Chiropractic Clinic · doing business as
Fairwood Chiropractic Clinic · doing business as

Authorized official

Mr. Tallon Nishihata
General Operations
(206) 824-9500

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1861031684

Midway Healthcare Therapeutics LLC's National Provider Identifier is 1861031684, issued on Dec 26, 2019. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Renton, WA. The record was last updated on Jan 23, 2020.