KENT TACOMA CHIROPRACTIC (NPI# 1265890941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265890941 |
| Entity Type | Organization |
| Organization Name | KENT TACOMA CHIROPRACTIC |
| Practice Address |
24612 104th Ave Se Kent WA 98030-4965 |
| Mailing Address |
Po Box 5669 Kent WA 98064-5669 |
| Practice Telephone | 2535202529 |
| Practice Fax Number | 2538524453 |
| Mailing Telephone | 2535202529 |
| Mailing Fax Number | 2538524453 |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |
| Authorized Official Name | NADIM HALABI (OWNER) |
| Authorized Official Telephone | 2535202529 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225700000X | Massage Therapist | MA60534560 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 111N00000X | Chiropractor | CH00002970 | WA | Chiropractic Providers |
| Street Address |
24612 104TH AVE SE |
| City | KENT |
| State | WA |
| Zip Code | 98030-4965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801952445 | William P. Momyer | Chiropractor | 24612 104th Ave Se, Kent, WA 98030-4965 | 2006-12-28 |
| 1982245791 | Miranda Dedrick | Massage Therapist | 24612 104th Ave Se, Kent, WA 98030-4965 | 2019-10-02 |
| 1245757517 | Dayna Hart | Chiropractor | 24612 104th Ave Se, Kent, WA 98030-4965 | 2017-08-27 |
| 1932556719 | Grace Kim | Massage Therapist | 24612 104th Ave Se, Kent, WA 98030-4965 | 2016-05-20 |
| 1912378613 | Yelena A Golub | Massage Therapist | 24612 104th Ave Se, Kent, WA 98030-4965 | 2015-10-08 |
| 1316237258 | Rebekka Lynn Hulet | Chiropractor | 24612 104th Ave Se, Kent, WA 98030-4965 | 2011-04-12 |
| 1336466630 | Kent Chiropractic | Chiropractor | 24612 104th Ave Se, Kent, WA 98030-4965 | 2010-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193193 | Sarah V Swan | Occupational Therapist | 12033 Se 265th St, Kent, WA 98030 | 2020-10-27 |
| 1346889250 | Kaylee Meilahn | Nurse Practitioner | 219 State Ave. N, Suite 220, Kent, WA 98030 | 2019-12-26 |
| 1508417429 | Pamela Stefansky | Technician | 25927 119th Ct Se, Kent, WA 98030 | 2019-09-23 |
| 1144703885 | Healthpoint | Clinic/Center | 219 State Ave N, Ste 100, Kent, WA 98030 | 2018-09-10 |
| 1932681921 | Johana Sanchez-vidales | Massage Therapist | 24837 104th Ave Se #100, Kent, WA 98030 | 2018-09-05 |
| 1265925309 | Linda Tomkins | Chiropractor | 12901 Se Kent-kangley Rd, Kent, WA 98030 | 2018-06-13 |
| 1952809543 | Sarah Rose Collins | Massage Therapist | 13003 Se Kent Kangley Rd Ste 110, Kent, WA 98030 | 2018-01-29 |
| 1942726815 | Alexandra B Zigmont | Physical Therapist | 12926 Se Kent Kangley Road, Kent, WA 98030 | 2017-08-22 |
| 1659801256 | Mitra Lal Dhital | Counselor | 3639 Mlk Jr Way S Seattle, Seattle, WA 98030 | 2017-06-15 |
| 1952838658 | Elizabeth Burson | Registered Nurse | 25742 104th Avenue Se, Kent, WA 98030 | 2017-05-12 |
| Find all providers in zip 98030 | ||||
| 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 |
|---|---|---|---|---|
| 1669944542 | Kent Chiropractic Associates LLC | Chiropractor | 27 N Main St Unit 7a, Kent, CT 06757-1551 | 2018-12-17 |
| 1265925309 | Linda Tomkins | Chiropractor | 12901 Se Kent-kangley Rd, Kent, WA 98030 | 2018-06-13 |
| 1447622790 | Alex Williams | Chiropractor | 417 Ramsay Way Ste 113, Kent, WA 98032-4502 | 2015-10-27 |
| 1770962334 | Chelsea Blair Dalton-evans | Chiropractor | 4821 S Kent Des Moines Rd, Apt #224, Kent, WA 98032-4212 | 2015-05-28 |
| 1285070789 | Abigail Callahan | Chiropractor | 25412 62nd Ave S Apt Bb201, Kent, WA 98032-4975 | 2013-05-12 |
| 1376887042 | Amber Aiken | Chiropractor | 2108 State Route 59, Kent, OH 44240-7142 | 2012-11-19 |
| 1750682878 | Alisha Elizabeth Romney | Chiropractor | 24255 104th Ave Se, Kent, WA 98030-4972 | 2010-11-04 |
| 1922337898 | Ann Marie Swanson | Chiropractor | 11011 Se 218th St, Kent, WA 98031-2127 | 2009-12-23 |
| 1043449382 | Allan R. Mccord Ps | Chiropractor | 10830 Se Kent Kangley Rd Ste 101, Kent, WA 98030-9011 | 2009-07-08 |
| 1215165824 | Momyer Chiropractic and Massage, P.s. | Chiropractor | 24604 104th Ave. S.e., Suite 203, Kent, WA 98030-5385 | 2009-06-23 |
| Find all providers in KENT | ||||
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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.