VITALITY CHIROPRACTIC CENTER INC (NPI# 1497914170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497914170 |
| Entity Type | Organization |
| Organization Name | VITALITY CHIROPRACTIC CENTER INC |
| Practice Address |
12811 Se 38th St Bellevue WA 98006-1326 |
| Practice Telephone | 4253781800 |
| Practice Fax Number | 4257461587 |
| Mailing Telephone | 4253781800 |
| Mailing Fax Number | 4257461587 |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2008-06-06 |
| Authorized Official Name | MR. KENNETH HAROLD KIESWETTER II (MASSAGE PRACTITIONER) |
| Authorized Official Telephone | 4253781800 |
| Authorized Official Credential | LMP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
MA00025081 | WA | Ambulatory Health Care Facilities |
| Street Address |
12811 SE 38TH ST |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98006-1326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639387921 | Tara Louis | Specialist | 12811 Se 38th St, Bellevue, WA 98006-1326 | 2007-05-18 |
| 1831659424 | Cwc Group, Ps | Acupuncturist | 12811 Se 38th St, Bellevue, WA 98006-1326 | 2019-03-21 |
| 1760835557 | Kyung-oh Suh | Chiropractor | 12811 Se 38th St, Bellevue, WA 98006-1326 | 2016-07-18 |
| 1760888085 | Blue Spring Chiropractic | Chiropractor | 12811 Se 38th St, Bellevue, WA 98006-1326 | 2014-11-13 |
| 1285057505 | Alexander Meadows | Chiropractor | 12811 Se 38th St, Bellevue, WA 98006-1326 | 2014-01-22 |
| 1851661573 | Advanced Therapy & Sports Rehabilitation,inc. | Physical Therapist | 12811 Se 38th St, Bellevue, WA 98006-1326 | 2012-01-11 |
| 1992934426 | Gober Chiropractic Center | Chiropractor | 12811 Se 38th St, Bellevue, WA 98006-1326 | 2009-07-06 |
| 1023289618 | Jennifer Rebecca Jorgensen | Contractor | 12811 Se 38th St, Bellevue, WA 98006-1326 | 2008-03-21 |
| 1508048604 | Patrick Flowin Kendrick | Contractor | 12811 Se 38th St, Bellevue, WA 98006-1326 | 2007-11-29 |
| 1215127543 | Carissa Nichole Garrard | Specialist | 12811 Se 38th St, Bellevue, WA 98006-1326 | 2007-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033602628 | Junmei Jin | Acupuncturist | 4317 Factoria Blvd Se Ste C, Bellevue, WA 98006 | 2018-06-08 |
| 1144733106 | Justin J Ho | Physical Therapist | 12917 Se 38th St Ste 208, Bellevue, WA 98006 | 2017-11-13 |
| 1932507191 | & Foot Specialists of Puget Sound, Ps | Podiatrist | 4140 Factoria Blvd Se Suite 1b, Bellevue, WA 98006 | 2014-12-19 |
| 1437556347 | Hilla Asadi | Naturopath | 12600 Se 38th St. #130, Bellevue, WA 98006 | 2014-11-21 |
| 1023433141 | Lori Anne Price | Speech-Language Pathologist | 12 Lummi Key, Bellevue, WA 98006 | 2014-02-26 |
| 1841628344 | Cohen, Manavi & Pakrvan Inc | Dentist | 3630a Factoria Blvd Se, Bellevue, WA 98006 | 2013-10-17 |
| 1740617836 | Kathleen L Carter | Massage Therapist | 5446 119th Ave Se #d, Bellevue, WA 98006 | 2013-10-03 |
| 1790037547 | Mellissa Ann Ilgen | Dentist | 4100 Factoria Blvd. Se, Suite C, Bellevue, WA 98006 | 2012-10-03 |
| 1982994364 | Hero House | Community/Behavioral Health | 12838 Se 40th Pl, Bellevue, WA 98006 | 2011-04-19 |
| 1356657738 | Lilia Schastlivaya | Massage Therapist | 13210 Se Newport Way, K201, Bellevue, WA 98006 | 2010-08-24 |
| Find all providers in zip 98006 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
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|---|---|---|---|---|
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| 1295109080 | Physiotherapy Associates Inc | Clinic/Center | 1103 Galvin Rd S, Area A, Bellevue, NE 68005-3004 | 2015-11-17 |
| 1659595593 | Mosaic Rehabilitation, Inc | Clinic/Center | 2445 140th Ave Ne, Suite B105, Bellevue, WA 98005-1879 | 2007-04-12 |
| 1942332648 | Idaho Dept of Health & Welfare R5 Cmh Psr Bell | Clinic/Center | 621 N Main St, Bellevue, ID 83313-5093 | 2007-03-09 |
| 1205874690 | Physiotherapy Associates Inc | Clinic/Center | 4122 Factoria Blvd Se, Bellevue, WA 98006-4200 | 2006-06-04 |
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| 1780281840 | Cascade Hand & Orthopedic Rehab, Inc. | Clinic/Center | 1301 4th Avenue Nw, Suite 200, Issaquah, WA 98027 | 2020-10-01 |
| 1316563299 | Team Vocational Services | Clinic/Center | 5608 17th Ave Nw Ste 596, Seattle, WA 98107-5232 | 2020-06-17 |
| 1871149534 | Body Talk, Inc | Clinic/Center | 1420 S Meridian Ste A, Puyallup, WA 98371-6914 | 2019-08-17 |
| 1982123394 | Sunnyside Community Hospital Association | Clinic/Center | 111 S 11th Ave Ste 321, Yakima, WA 98902-3273 | 2017-09-18 |
| 1255871299 | Power Up Therapy, LLC | Clinic/Center | 280 Nw Holly St, Suite 10, Issaquah, WA 98027-2815 | 2017-02-23 |
| 1053863035 | Kids In Motion Therapy Clinic | Clinic/Center | 4152 Meridian St Ste 105, Pmb 17, Bellingham, WA 98226-5589 | 2016-10-26 |
| 1043769441 | Corrie L Adams | Clinic/Center | 1831 8th Ave Apt 602, Seattle, WA 98101-4411 | 2016-09-26 |
| 1275871618 | Pushing Boundaries | Clinic/Center | 4162 148th Ave Ne, Redmond, WA 98052-5164 | 2013-01-18 |
| 1366790560 | Bothell Pediatric and Hand Therapy | Clinic/Center | 18606 Bothell Way Ne, Bothell, WA 98011-1929 | 2012-08-17 |
| 1881827392 | Brainstorm Rehabilitation, LLC | Clinic/Center | 109 E 3rd Ave Ste 1, Ellensburg, WA 98926-3357 | 2009-08-31 |
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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.