THOMAS WAYNE PLLC (NPI# 1962694224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962694224 |
| Entity Type | Organization |
| Organization Name | THOMAS WAYNE PLLC |
| Other Organization Name | OVERLAKE CHIROPRACTIC CLINIC |
| Practice Address |
15858 1st Avenue South Suite #a104 Burien WA 98148 |
| Practice Telephone | 2068380022 |
| Practice Fax Number | 2068380021 |
| Mailing Telephone | 2068380022 |
| Mailing Fax Number | 2068380021 |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2013-05-29 |
| Authorized Official Name | DR. KEVIN WAYNE MANCHESTER (DOCTOR/OWNER) |
| Authorized Official Telephone | 2068380022 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH00034652 | WA | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Overlake Chiropractic Clinic | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | THOMAS WAYNE PLLC | 15858 1st Ave S, Burien, WA 98148-1299 |
| Street Address |
15858 1ST AVENUE SOUTH SUITE #A104 |
| City | BURIEN |
| State | WA |
| Zip Code | 98148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871127894 | Meghan Eileen Spain | Dentist | 1810 8th Ave S, Seatac, WA 98148 | 2020-02-28 |
| 1346615978 | Tawnesha R Hector | Massage Therapist | 15858 1st Ave South, Suite A104, Burien, WA 98148 | 2015-12-08 |
| 1043552862 | Prashant Gupta | Family Medicine | 16045 1st Ave S # F1, Burien, WA 98148 | 2013-03-19 |
| 1205177110 | Lucy Krakowiak | Massage Therapist | 15858 - 1st Ave South, Ste A104, Burien, WA 98148 | 2013-03-04 |
| 1467639765 | Zahra Anne Young | Physical Therapist | 17692 1st Ave. South, Normandy Park, WA 98148 | 2008-01-29 |
| 1063616316 | Highline School District | Counselor | 15675 8th Avenue S, Burien, WA 98148 | 2007-06-12 |
| 1487798682 | Stephanie Rene Lillejord | Massage Therapist | 308 S 184th St, Burien, WA 98148 | 2007-02-19 |
| 1548335169 | Affordable Dental Care | Dentist | 15726 1st Ave S, Burien, WA 98148 | 2006-11-21 |
| 1568967610 | Jacqueline Anne Meier | Massage Therapist | 15858 1st Ave South, Ste# A104, Burien, WA 98148 | 2018-03-29 |
| 1366991507 | Pham T Huynh V Huynh Pllc | Dentist | 17694 1st Ave S, Suite B, Burien, WA 98148 | 2016-09-29 |
| Find all providers in zip 98148 | ||||
| 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 |
|---|---|---|---|---|
| 1154790798 | Han Nguyen | Chiropractor | 15811 Ambaum Blvd Sw Suite 110, Burien, WA 98166 | 2015-09-24 |
| 1396114021 | Linda Kay Miller | Chiropractor | 15927 23rd Ave Sw, Burien, WA 98166-2645 | 2015-09-23 |
| 1851530679 | Alkarim Bhanji | Chiropractor | 15417 1st Ave S, Burien, WA 98148-1013 | 2009-02-18 |
| 1467652925 | Premier Chiropractic | Chiropractor | 14245 Ambaum Blvd Sw, F, Burien, WA 98166-1421 | 2007-07-23 |
| 1700813912 | Aaron Michael Collins | Chiropractor | 619 Sw 152nd St, Burien, WA 98166-2212 | 2006-06-26 |
| 1265495519 | Ronald Harold Fulton | Chiropractor | 639 Sw 154th St, Burien, WA 98166-2220 | 2006-04-08 |
| 1700887007 | Lauren Lee Chinn | Chiropractor | 14251r Ambaum Blvd Sw, Burien, WA 98166-1421 | 2005-08-09 |
| 1912538455 | Tyler Hutcherson | Chiropractor | 612 Sw 152nd St, Burien, WA 98166-2213 | 2020-02-03 |
| 1801455001 | Kellie Read | Chiropractor | 619 Sw 152nd St, Burien, WA 98166-2212 | 2019-06-11 |
| 1457864969 | Patrick Douglas Gorrell | Chiropractor | 619 Sw 152nd St, Burien, WA 98166-2212 | 2017-11-07 |
| Find all providers in BURIEN | ||||
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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.