MCKENNA CHIROPRACTIC CENTER PS (NPI# 1063698231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063698231 |
| Entity Type | Organization |
| Organization Name | MCKENNA CHIROPRACTIC CENTER PS |
| Practice Address |
9111 346th St S Ste 3 Roy WA 98580-8479 |
| Mailing Address |
Po Box 1370 Mckenna WA 98558-1370 |
| Practice Telephone | 3604002002 |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2013-03-04 |
| Authorized Official Name | ROBERT WINSLOW SOWERS (OWNER) |
| Authorized Official Telephone | 3604002002 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Street Address |
9111 346TH ST S STE 3 |
| City | ROY |
| State | WA |
| Zip Code | 98580-8479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659694750 | Patricia Riley Dammier | Counselor | 5304 State Route 702 S, Roy, WA 98580 | 2010-03-04 |
| 1811229594 | Dawn Wray Bouchard | Specialist | 29614 67th Ave Ct S, Roy, WA 98580 | 2010-02-05 |
| 1669703203 | Barbara L. Malm | Massage Therapist | 9111 346th St So, Ste #3, Roy, WA 98580 | 2010-01-21 |
| 1356576714 | Escape 2 Massage | Massage Therapist | 107 S. Warren St, Unit D, Roy, WA 98580 | 2009-05-28 |
| 1649414665 | Virgie Belo Aragon | Massage Therapist | 107 S. Warren, Unit D, Roy, WA 98580 | 2009-04-21 |
| 1487893673 | Janna Pauline Allen | Massage Therapist | 9111 346th St S., Ste 3, Roy, WA 98580 | 2009-02-11 |
| 1508030180 | Pauline Flournoy | Custodial Care Facility | 28121 14th Ave E, Roy, WA 98580 | 2008-04-15 |
| 1154511806 | Classic Chiropractic P.s. | Chiropractor | 35025 90th Ave. S., Unit 6, Roy, WA 98580 | 2007-07-30 |
| 1609933092 | Adrienne M Martin | Massage Therapist | 9111 346 St S, Suite 3, Rox, WA 98580 | 2007-01-03 |
| 1629133988 | Cassandra Pearl Cobb | Massage Therapist | 9111 346th St S, Suite 3, Roy, WA 98580 | 2006-12-27 |
| Find all providers in zip 98580 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013421882 | Kylie Yardley Burton | Chiropractor | 1920 W 5200 S Ste 1, Roy, UT 84067-3467 | 2017-11-30 |
| 1992036180 | Kevin N Lundell | Chiropractor | 5348 S 1900 W, Ste #a2, Roy, UT 84067-3019 | 2010-01-27 |
| 1073798278 | Family Chiropractic, PC | Chiropractor | 1920 W. 5200 S. #5, Roy, UT 84067-3452 | 2008-01-07 |
| 1154511806 | Classic Chiropractic P.s. | Chiropractor | 35025 90th Ave. S., Unit 6, Roy, WA 98580 | 2007-07-30 |
| 1659576262 | Wwh Inc | Chiropractor | 1845 W. 4400 S., Ste. 104, Roy, UT 84067-3049 | 2007-06-15 |
| 1073640280 | Walter Wayne Hirsbrunner | Chiropractor | 1845 West 4400 South, Ste. 104, Roy, UT 84067-3049 | 2007-02-27 |
| 1558307140 | Jeff W Child | Chiropractor | 1920 W 5200 S, Suite 5, Roy, UT 84067-3452 | 2006-06-21 |
| 1629022082 | Karen A Kraftick | Chiropractor | 1778 W 5150 S, Roy, UT 84067-3059 | 2006-05-20 |
| 1265407282 | Richard P Amon | Chiropractor | 3996 S 1900 W, Roy, UT 84067-3111 | 2006-02-22 |
| 1619358488 | Lundell Chiropractic | Chiropractor | 5348 S 1900 W, Suite #a2, Roy, UT 84067-3019 | 2015-06-17 |
| Find all providers in ROY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.