Basic Information
| Provider Information | |||||||||
| NPI: | 1275789745 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HIGHER HEALTH CHIROPRACTIC & SPORTS REHAB CENTER LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 227 BELLEVUE WAY NE # 294 | ||||||||
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| City: | BELLEVUE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980045721 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4258308367 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1370 116TH AVE NE STE 206 | ||||||||
| Address2: | |||||||||
| City: | BELLEVUE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980043825 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4258308367 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/14/2008 | ||||||||
| LastUpdateDate: | 04/24/2009 | ||||||||
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| AuthorizedOfficialLastName: | ARNILL | ||||||||
| AuthorizedOfficialFirstName: | PAULINE | ||||||||
| AuthorizedOfficialMiddleName: | LOIS | ||||||||
| AuthorizedOfficialTitleorPosition: | CHIROPRACTOR | ||||||||
| AuthorizedOfficialTelephone: | 4258308367 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | DC | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 111N00000X | CH00034870 | WA | Y | 193200000X MULTI-SPECIALTY GROUP | Chiropractic Providers | Chiropractor |
No ID Information.