RAINIER CHIROPRACTIC CLINIC (NPI# 1831122373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831122373 |
| Entity Type | Organization |
| Organization Name | RAINIER CHIROPRACTIC CLINIC |
| Practice Address |
503 1st St S Yelm WA 98597-7634 |
| Mailing Address |
Po Box 656 Rainier WA 98576-0656 |
| Practice Telephone | 3604003151 |
| Practice Fax Number | 3604003150 |
| Mailing Telephone | 3604003151 |
| Mailing Fax Number | 3604003150 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2011-06-05 |
| Authorized Official Name | MR. JOSEPH DISPENZA (OWNER, CHIROPRACTOR) |
| Authorized Official Telephone | 3604003151 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 601290297000 | WA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | L AND I CLINIC NUMBER | 0173734 | 01 |
| Street Address |
503 1ST ST S |
| City | YELM |
| State | WA |
| Zip Code | 98597-7634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932102274 | Joseph Dispenza | Chiropractor | 503 1st St S, Yelm, WA 98597-7634 | 2005-05-31 |
| 1790212009 | Northwest Advanced Spinal Care Pllc | Chiropractor | 503 1st St S, Yelm, WA 98597-7634 | 2017-05-17 |
| 1801269519 | Amber Woods | Chiropractor | 503 1st St S, Yelm, WA 98597-7634 | 2015-11-03 |
| 1568899573 | Mark Bingel | Chiropractor | 503 1st St S, Yelm, WA 98597-7634 | 2013-10-04 |
| 1518224690 | Kathy Lund | Massage Therapist | 503 1st St S, Yelm, WA 98597-7634 | 2012-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538652888 | Michael Nathan Steim | Dentist | 504 Yelm Avenue West, Yelm, WA 98597 | 2018-06-12 |
| 1457854549 | Ursula Schanne | Massage Therapist | 10501 Creek St Se Ste 7, Yelm, WA 98597 | 2018-03-14 |
| 1215449079 | Kaylee Jean Cook | Occupational Therapy Assistant | 107 1st Street Ne, Yelm, WA 98597 | 2017-11-01 |
| 1740705615 | Heather Anne Ervine | Physical Therapy Assistant | 14809 89th Ave Se, Yelm, WA 98597 | 2017-08-11 |
| 1679014559 | Beverly Dunford | Massage Therapist | 404 1st St S Ste. H, Yelm, WA 98597 | 2017-03-13 |
| 1740735158 | Amanda Kroboth | Speech-Language Pathologist | 16535 110th Ave Se, Yelm, WA 98597 | 2016-08-16 |
| 1134587090 | Lopaka Thanh Son Los Banos | Massage Therapist | 35617 Wa-507, Yelm, WA 98597 | 2016-02-08 |
| 1629472816 | Michelle Louise Punzel | Registered Nurse | 202 Stevens Ave Nw, Yelm, WA 98597 | 2014-10-16 |
| 1386074581 | Bobbi J Ashley | Counselor | 202 Cullens Rd, Yelm, WA 98597 | 2013-11-25 |
| 1295008100 | Trina Baggett | Doula | 21618 N Clearlake Blvd Se, Yelm, WA 98597 | 2012-02-23 |
| Find all providers in zip 98597 | ||||
| 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 |
|---|---|---|---|---|
| 1154630069 | Derek Simpson | Chiropractor | 1412 E Yelm Ave, Ste C101, Yelm, WA 98597-8328 | 2010-09-28 |
| 1336277078 | Gary D Longshore | Chiropractor | 12044 Bald Hill Rd Se, Yelm, WA 98597-9664 | 2007-03-02 |
| 1508904293 | Gordon J Grobelny | Chiropractor | 10501 Creek St Se Ste 2, Yelm, WA 98597 | 2007-02-02 |
| 1194886192 | Raymond F Kent | Chiropractor | 715 Yelm Ave Se, Ste 5, Yelm, WA 98597-0576 | 2006-12-13 |
| 1396754313 | Crystal Martin | Chiropractor | 9144 Burnett Rd Se, Suite B1 and B2, Yelm, WA 98597-8488 | 2006-08-07 |
| 1376585133 | Living Well Chiropractic Inc. | Chiropractor | 1304 E Yelm Ave, Suite A109, Yelm, WA 98597-8662 | 2006-06-12 |
| 1932102274 | Joseph Dispenza | Chiropractor | 503 1st St S, Yelm, WA 98597-7634 | 2005-05-31 |
| 1790212009 | Northwest Advanced Spinal Care Pllc | Chiropractor | 503 1st St S, Yelm, WA 98597-7634 | 2017-05-17 |
| 1033657010 | Brandon Thomas Lester | Chiropractor | 1412 E Yelm Ave, Suite C101, Yelm, WA 98597-8663 | 2017-02-09 |
| 1801269519 | Amber Woods | Chiropractor | 503 1st St S, Yelm, WA 98597-7634 | 2015-11-03 |
| Find all providers in YELM | ||||
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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.