NPI 1194298182

Spine and Sport Chiropractic, LLC

Organisation Chiropractor Lakewood, WA

Practice location

Address: 8520 Steilacoom Blvd SW STE 101, Lakewood, WA 98498-4773
Phone: (253) 507-7564
Fax: (253) 625-7241

Authorised official

Name: Derek Nyren
Title: Owner/Chiropractor
Phone: (253) 507-7564

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X

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Registry record

NPI: 1194298182
Entity type: Organization
NPI issued: 2 Jan 2019
Record last updated: 18 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.