Basic Information
| Provider Information | |||||||||
| NPI: | 1699077974 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | INHEALTH, PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4915 25TH AVE NE | ||||||||
| Address2: | SUITE 104 WEST | ||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981055667 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2063157998 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4915 25TH AVE NE | ||||||||
| Address2: | SUITE 104 WEST | ||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981055667 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2063157998 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/19/2010 | ||||||||
| LastUpdateDate: | 01/06/2011 | ||||||||
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| AuthorizedOfficialLastName: | RINDAL | ||||||||
| AuthorizedOfficialFirstName: | KEVIN | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 2063157998 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | DC | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 111NR0400X | CH00034788 | WA | N | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Chiropractic Providers | Chiropractor | Rehabilitation | 111NS0005X | CH00034788 | WA | Y | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Chiropractic Providers | Chiropractor | Sports Physician |
No ID Information.