| Lake Tapps Chiropractic Center, L.l.c. | |
|
21157 State Route 410 E, Bonney Lake, WA 98391-8457 | |
| (253) 862-2138 | |
| Not Available |
| Full Name | Lake Tapps Chiropractic Center, L.l.c. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 21157 State Route 410 E, Bonney Lake, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679616569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH00002318 (Washington) | Primary |
| Provider Name | Daniel W Anderson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1760537021 PECOS PAC ID: 7315971132 Enrollment ID: I20050921000779 |
| Provider Name | Jordan David Durrance |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1902406242 PECOS PAC ID: 3971915828 Enrollment ID: I20210406002273 |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Tapps Chiropractic Center, L.l.c. Po Box 1549, Buckley, WA 98321-1549 Ph: (253) 862-2138 | Lake Tapps Chiropractic Center, L.l.c. 21157 State Route 410 E, Bonney Lake, WA 98391-8457 Ph: (253) 862-2138 |
Dr. Jeffery William Olsen, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 20119 S Prairie Rd E, Bonney Lake, WA 98391 Phone: 253-862-1555 Fax: 253-862-1557 | |
Mr. Ronald Allen Mccorkle, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 18310 Hwy 410 East, Bonney Lake, WA 98391 Phone: 253-863-6377 Fax: 253-863-2052 | |
Ideal Motion Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 18008 State Route 410 E, Suite D, Bonney Lake, WA 98391 Phone: 253-447-8440 Fax: 253-987-7444 | |
Alta Dawne Mahan, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 20119 S Prairie Rd E, Bonney Lake, WA 98391 Phone: 253-862-1555 Fax: 253-862-1557 | |
Paradigm Chiropractic Pllc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 22015 State Route 410 E, Bonney Lake, WA 98391 Phone: 253-891-9109 Fax: 253-826-0438 | |
Mountain View Chiropractic And Wellness Center Chiropractor Medicare: Medicare Enrolled Practice Location: 9812 205th Ave E Ste C, Bonney Lake, WA 98391 Phone: 253-863-6378 Fax: 253-863-6429 | |
Henschell Chiropractic, P.s. Chiropractor Medicare: Medicare Enrolled Practice Location: 19950 South Prairie Rd, Bonney Lake, WA 98391 Phone: 253-862-1555 Fax: 253-862-1557 |