BACK TO ACTION CHIROPRACTIC LLC (NPI# 1851571772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851571772 |
Entity Type | Organization |
Organization Name | BACK TO ACTION CHIROPRACTIC LLC |
Practice Address |
6603 220th St Sw Ste 100 Mountlake Terrace WA 98043 |
Practice Telephone | 4256702600 |
Practice Fax Number | 4257787073 |
Mailing Telephone | 4256702600 |
Mailing Fax Number | 4257787073 |
Enumeration Date | 2007-11-08 |
Last Update Date | 2008-02-20 |
Authorized Official Name | JERRY B DREESSEN (OWNER) |
Authorized Official Telephone | 4256702600 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 111N00000X | Chiropractor | CH00034001 | WA | Chiropractic Providers |
Y | 111N00000X | Chiropractor | CH00002267 | WA | Chiropractic Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033668124 | Back To Action Chiropractic LLC | Chiropractor | 4344 Woodlands Blvd, Suite 120, Castle Rock, CO 80104-2801 | 2016-09-29 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | Back to Action Chiropractic LLC | 4344 Woodlands Blvd Suite 120, Castle Rock, CO 80104 |
Street Address |
6603 220TH ST SW STE 100 |
City | MOUNTLAKE TERRACE |
State | WA |
Zip Code | 98043 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124105275 | Mark S Shelley | Chiropractor | 6603 220th St Sw, Ste 102, Mountlake Terrace, WA 98043-2186 | 2006-11-01 |
1194029710 | Diana Flora Curley | Massage Therapist | 6603 220th St Sw, Suite 100, Mountlake Terrace, WA 98043 | 2010-12-23 |
1831403583 | Kathryn Rene Hopkins | Massage Therapist | 6603 220th St Sw, Suite 100, Mountlake Terrace, WA 98043-2186 | 2010-08-04 |
1164662565 | Jessica Margaret Davies | Massage Therapist | 6603 220th St Sw, Ste. 1c, Mountlake Terrace, WA 98043-2186 | 2009-02-24 |
1952562100 | Brittany Luann Rowan | Massage Therapist | 6603 220th St Sw, Suite 1c, Mountlake Terrace, WA 98043 | 2008-06-20 |
1982864450 | Laura Jean Morley | Massage Therapist | 6603 220th St Sw, Suite 1-c, Mountlake Terrace, WA 98043-2186 | 2008-06-10 |
1629250980 | Olympic Spine and Sports Therapy PC | Chiropractor | 6603 220th St Sw, Ste 102, Mountlake Terrace, WA 98043-2186 | 2007-11-28 |
1710042510 | Jerrald B Dreessen | Chiropractor | 6603 220th St Sw, Ste 100, Mountlake Terrace, WA 98043 | 2006-12-22 |
1689736332 | Kenneth Lee Barnes | Massage Therapist | 6603 220th St Sw, Suite 1-c, Mountlake Terrace, WA 98043-2186 | 2006-12-15 |
1437228426 | Siera Victoria Purcell | Specialist | 6603 220th St Sw, Suite 1c, Mountlake Terrace, WA 98043-2186 | 2006-11-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538785357 | Maria Angelica Lopez | Counselor | 22815 Lakeview Dr Apt 'g' - 308, Mountlake Terrace, WA 98043 | 2020-06-17 |
1447891411 | Juana Antonia Hartley | Technician | 4808 221st St. Sw, Mountlake Terrace, WA 98043 | 2019-10-01 |
1437709961 | Jamil Vaughn Shoot | Acupuncturist | 21705 56th Ave W, Mount Lake Terrace, WA 98043 | 2019-09-17 |
1942709449 | Julie A Hill | Registered Nurse | 22001 44th Ave W, Mountlake Terrace, WA 98043 | 2018-02-09 |
1205285004 | Preeti Suryakumar | Occupational Therapist | 23008 56th Ave West, Vineyard Park At Mountlake Terrace, Mountlake Terrace, WA 98043 | 2016-06-13 |
1467819623 | Liisa Marlene Geyer | Social Worker | 6021 244th St Sw # 400, Mountlake Terrace, WA 98043 | 2016-01-19 |
1346611696 | Isaiah Johnson | Massage Therapist | 21604 66th Ave N, #a, Mountlake Terrace, WA 98043 | 2015-10-13 |
1417343260 | Sunanta Angela Astorga | Counselor | 6021 244th St Sw #400, Mountlake Terrace, WA 98043 | 2015-04-08 |
1366835746 | Teresa Antoinette White | Chiropractor | 6603 220th St. Sw Suite 100, Mountlake Terrace, WA 98043 | 2015-03-10 |
1508156647 | Monica Jean Scott | Massage Therapist | 23009-56 Ave W # B, Mountlake Terrace, WA 98043 | 2011-04-11 |
Find all providers in zip 98043 |
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 |
---|---|---|---|---|
1417430349 | Peter Choo | Chiropractor | 6603 220th St Sw Ste 102, Mountlake Terrace, WA 98043-2186 | 2018-09-06 |
1043726615 | Matthew Waldron Dc | Chiropractor | 23009 56th Ave W Ste B, Mountlake Terrace, WA 98043-4713 | 2017-12-19 |
1366835746 | Teresa Antoinette White | Chiropractor | 6603 220th St. Sw Suite 100, Mountlake Terrace, WA 98043 | 2015-03-10 |
1316085822 | Gordon George Dewey | Chiropractor | 23009 56th Ave W, Suite B, Mountlake Terrace, WA 98043-4713 | 2007-02-05 |
1124105275 | Mark S Shelley | Chiropractor | 6603 220th St Sw, Ste 102, Mountlake Terrace, WA 98043-2186 | 2006-11-01 |
1619267184 | Britany Michelle Culley | Chiropractor | 23009-56 Ave W # B, Mountlake Terrace, WA 98043 | 2011-04-18 |
1841449873 | Eduardo Jubis | Chiropractor | 6100 219th St Sw, Suite 480, Mountlake Terrace, WA 98043-2222 | 2008-09-15 |
1629250980 | Olympic Spine and Sports Therapy PC | Chiropractor | 6603 220th St Sw, Ste 102, Mountlake Terrace, WA 98043-2186 | 2007-11-28 |
1639368301 | Abundant Life Health Center, Inc. | Chiropractor | 22002 64th Ave W, Suite 2e, Mountlake Terrace, WA 98043-2528 | 2007-10-18 |
1891828968 | Mary K. Wright | Chiropractor | 22002 64th Ave W, Suite 2e, Mountlake Terrace, WA 98043-2528 | 2007-03-14 |
Find all providers in MOUNTLAKE TERRACE |
City | MOUNTLAKE TERRACE |
Zip Code | 98043 |
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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.