HEALTHY LIFE CHIROPRACTIC CLINIC, PLLC (NPI# 1336311943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336311943 |
| Entity Type | Organization |
| Organization Name | HEALTHY LIFE CHIROPRACTIC CLINIC, PLLC |
| Practice Address |
811 Rainier St Snohomish WA 98290-2958 |
| Practice Telephone | 3605688800 |
| Practice Fax Number | 3605680581 |
| Mailing Telephone | 3605688800 |
| Mailing Fax Number | 3605680581 |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2008-03-31 |
| Authorized Official Name | KARI L GIBSON (REGISTERED AGENT) |
| Authorized Official Telephone | 2065959616 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH00033909 | WA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PROVIDER # | AB26284 | 01 |
| Street Address |
811 RAINIER ST |
| City | SNOHOMISH |
| State | WA |
| Zip Code | 98290-2958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407854805 | Kari Lynn Gibson | Chiropractor | 811 Rainier St, Snohomish, WA 98290-2958 | 2005-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185579 | Payton Helene Lewis | Massage Therapist | 1101 Ave D, C-106, Snohomish, WA 98290 | 2019-10-09 |
| 1225542921 | Pacifica Sl Snohomish | Assisted Living Facility | 1124 Pine Avenue, Snohomish, WA 98290 | 2017-11-17 |
| 1649781469 | Julia Miller | Behavioral Analyst | 2621 Bickford Ave Ste C, Snohomish, WA 98290 | 2017-10-19 |
| 1417315821 | Sherrie June Cooper | Speech-Language Pathologist | 1131 Silva Street, Snohomish, WA 98290 | 2016-02-01 |
| 1689067514 | Gladdie Altura | Speech-Language Pathologist | 12125 Chain Lake Rd, Snohomish, WA 98290 | 2015-03-17 |
| 1740618321 | Rebekah Joanne Oldenkamp | Naturopath | 110 Cedar Avenue, Suite 101, Snohomish, WA 98290 | 2013-10-17 |
| 1356779151 | Cassandra Hurd | Naturopath | 110 Cedar Ave Apt 101, Snohomish, WA 98290 | 2013-10-15 |
| 1982937801 | Elisa Madeline Chimienti | Massage Therapist | 1610 145th Ave. S.e., Snohomish, WA 98290 | 2009-09-10 |
| 1144452319 | Crystal L Blankinship | Counselor | 1830 Bickford Ave Ste 211, Snohomish, WA 98290 | 2009-08-20 |
| 1649417528 | Sondra Deschell | Reflexologist | 127 Ave A, Ste 2b, Snohomish, WA 98290 | 2009-01-14 |
| Find all providers in zip 98290 | ||||
| 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 |
|---|---|---|---|---|
| 1407350572 | Michael Leigh Carter | Chiropractor | 22110 138th Ave Se, Snohomish, WA 98296-5430 | 2018-03-22 |
| 1639683113 | Snohomish Family Chiropractic LLC | Chiropractor | 112 Avenue D Ste A, Snohomish, WA 98290-2743 | 2017-11-20 |
| 1447509070 | Mirinda Atchison | Chiropractor | 1820 Bickford Ave, Snohomish, WA 98290-1743 | 2012-08-29 |
| 1467755439 | Courtney Melissa Hammer | Chiropractor | 17416 Sr 9 Se, Suite B, Snohomish, WA 98296 | 2010-12-14 |
| 1659509230 | Stephen Baldwin | Chiropractor | 17416 Sr 9, Suite B, Snohomish, WA 98296-6304 | 2009-06-23 |
| 1073723946 | Milan Stojakovic | Chiropractor | 1207 13th St, Suite G, Snohomish, WA 98290-2000 | 2007-05-22 |
| 1881789733 | Mark Bayard Kossian | Chiropractor | 127 Avenue C Ste A, Snohomish, WA 98290-2768 | 2006-10-04 |
| 1043208564 | Kenneth Eldon Parker | Chiropractor | 127 Avenue C, Ste A, Snohomish, WA 98290-2768 | 2005-10-10 |
| 1407854805 | Kari Lynn Gibson | Chiropractor | 811 Rainier St, Snohomish, WA 98290-2958 | 2005-07-09 |
| 1871953422 | Classic Chiropractic Clinic, LLC | Chiropractor | 1101 Avenue D, Ste C106, Snohomish, WA 98290-2083 | 2016-02-24 |
| Find all providers in SNOHOMISH | ||||
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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.