| Bodytite Chiropractic Pllc | |
|
1823 115th Ave Ne Bellevue WA 98004-3002 | |
| (425) 591-9910 | |
| (844) 927-4477 |
| Full Name | Bodytite Chiropractic Pllc |
|---|---|
| Speciality | Chiropractor |
| Location | 1823 115th Ave Ne, Bellevue, Washington |
| Authorized Official Name and Position | Cherylena Simmonds (PHYSICIAN) |
| Authorized Official Contact | 4255919910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bodytite Chiropractic Pllc 1823 115th Ave Ne Bellevue WA 98004-3002 Ph: (425) 591-9910 | Bodytite Chiropractic Pllc 1823 115th Ave Ne Bellevue WA 98004-3002 Ph: (425) 591-9910 |
| NPI Number | 1174821482 |
|---|---|
| Provider Enumeration Date | 03/10/2011 |
| Last Update Date | 11/01/2024 |
| Medicare PECOS PAC ID | 4880872555 |
|---|---|
| Medicare Enrollment ID | O20110628000481 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174821482 | NPI | - | NPPES |
| Provider Name | Cherylena E Simmonds |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1427002492 PECOS PAC ID: 1850399346 Enrollment ID: I20061116000402 |
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