| Ellensburg Sport And Spine, Llc | |
| 
					314 N Pine St, Ellensburg, WA 98926-3366  | |
| (360) 791-6226 | |
| Not Available | 
| Full Name | Ellensburg Sport And Spine, Llc | 
|---|---|
| Type | Facility | 
| Speciality | Chiropractor | 
| Location | 314 N Pine St, Ellensburg, Washington | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1376215483 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary | 
| Provider Name | Dillon Thomas Clark | 
|---|---|
| Provider Type | Practitioner - Chiropractic | 
| Provider Identifiers | NPI Number: 1982180964 PECOS PAC ID: 5698024743 Enrollment ID: I20180822002073  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ellensburg Sport And Spine, Llc 314 N Pine St, Ellensburg, WA 98926-3366 Ph: (360) 791-6226  | Ellensburg Sport And Spine, Llc 314 N Pine St, Ellensburg, WA 98926-3366 Ph: (360) 791-6226  | 
Laser Spine & Disc Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2211 W Dolarway Rd Ste 4, Ellensburg, WA 98926 Phone: 509-925-7246 Fax: 509-933-4104  | |
Dr. Christopher Lee Draney, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 304 S Water St Ste 103, Ellensburg, WA 98926 Phone: 509-925-7246  | |
Dan Keffeler, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 109 S Water St Ste 2, Ellensburg, WA 98926 Phone: 509-962-2225 Fax: 509-962-2270  | |
Linder Chiropractic Center Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1011 N Alder Ste 1, Ellensburg, WA 98926 Phone: 509-962-2570 Fax: 509-962-4668  | |
Logan Chavez, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 1000 E Harvest Loop Apt 901, Ellensburg, WA 98926 Phone: 360-601-6139  | |
Caleb Hull, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 801 S Ruby St Ste 1, Ellensburg, WA 98926 Phone: 509-962-8008  | |
Kyle Steven Odonnell, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 801 S Ruby St Ste 1, Ellensburg, WA 98926 Phone: 509-962-8008  |