| Flow State Chiropractic & Wellness | |
|
2459 Ashby Ave Ste B Berkeley CA 94705-2009 | |
| (510) 984-3348 | |
| (510) 256-0197 |
| Full Name | Flow State Chiropractic & Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 2459 Ashby Ave Ste B, Berkeley, California |
| Authorized Official Name and Position | Amanda L Chan (OWNER) |
| Authorized Official Contact | 7742702199 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Flow State Chiropractic & Wellness 2459 Ashby Ave Ste B Berkeley CA 94705-2009 Ph: (510) 984-3348 | Flow State Chiropractic & Wellness 2459 Ashby Ave Ste B Berkeley CA 94705-2009 Ph: (510) 984-3348 |
| NPI Number | 1598513145 |
|---|---|
| Provider Enumeration Date | 05/08/2024 |
| Last Update Date | 06/25/2024 |
| Certification Date | 06/25/2024 |
| Medicare PECOS PAC ID | 0446736581 |
|---|---|
| Medicare Enrollment ID | O20260108002820 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598513145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| 111N00000X | Chiropractor | () | Secondary |
| 171100000X | Acupuncturist | () | Secondary |
| 225700000X | Massage Therapist | () | Secondary |
| Provider Name | Kathryn Rae Bastable |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1093583973 PECOS PAC ID: 2567990153 Enrollment ID: I20250120000455 |
| Provider Name | Amanda Chan |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1952956336 PECOS PAC ID: 1355827494 Enrollment ID: I20260109002959 |
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