| Chiro 1st Renton | |
|
3459 S 152nd St, Tukwila, WA 98188-2176 | |
| (206) 241-2225 | |
| Not Available |
| Full Name | Chiro 1st Renton |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 3459 S 152nd St, Tukwila, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730060526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Raymon Kooner |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1053404038 PECOS PAC ID: 1254330871 Enrollment ID: I20070208000587 |
| Provider Name | Sukhmeet Mand |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1760242986 PECOS PAC ID: 3577901479 Enrollment ID: I20240410002016 |
| Mailing Address | Practice Location Address |
|---|---|
| Chiro 1st Renton 3459 S 152nd St, Tukwila, WA 98188-2176 Ph: Not Available | Chiro 1st Renton 3459 S 152nd St, Tukwila, WA 98188-2176 Ph: (206) 241-2225 |
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