Individual provider · Type 1 NPI

Theodore Jeffrey Clark, DC

Chiropractor · Renton, WA

NPI number 1861705964 Active

Practice location

17422 108th Ave SE, #101
Renton, WA 98055-5400

Call (425) 255-0427 Map

Fax (425) 255-1066

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X2219 (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.

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About NPI 1861705964

Theodore Jeffrey Clark, DC's National Provider Identifier is 1861705964, issued on Jul 17, 2010. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Renton, WA. The record was last updated on Jul 17, 2010.