| Brilliant Life Chiropractic, Llc | |
|
708 Broadway Ste 403, Tacoma, WA 98402 | |
| (253) 383-0577 | |
| (253) 383-0574 |
| Full Name | Brilliant Life Chiropractic, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 708 Broadway Ste 403, Tacoma, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063666444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH00034780 (Washington) | Primary |
| 111N00000X | Chiropractor | CH00034834 (Washington) | Secondary |
| Provider Name | Paul W Martin |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1720225311 PECOS PAC ID: 8628132289 Enrollment ID: I20090126000486 |
| Provider Name | Laelle M Martin |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1629215215 PECOS PAC ID: 6204990864 Enrollment ID: I20090126000536 |
| Mailing Address | Practice Location Address |
|---|---|
| Brilliant Life Chiropractic, Llc 708 Broadway Ste 403, Tacoma, WA 98402-3781 Ph: (253) 383-0577 | Brilliant Life Chiropractic, Llc 708 Broadway Ste 403, Tacoma, WA 98402 Ph: (253) 383-0577 |
Dr. Frank Anthony Lawler, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: Physical Medicine Rehabilitation Chiropractic Clinic, Madigan Army Medical Center, Tacoma, WA 98431 Phone: 253-968-3817 | |
Dr. Jeffrey S Clary, D.C Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 6040 20th St E, Tacoma, WA 98424 Phone: 253-922-2266 | |
Dr. Randy K. Eaton, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2611 N Stevens St, Tacoma, WA 98407 Phone: 253-759-1566 | |
Tacoma Family Chiropractic Inc., P.s. Chiropractor Medicare: Medicare Enrolled Practice Location: 1033 N Tacoma Ave, Tacoma, WA 98403 Phone: 253-474-9670 Fax: 253-474-9692 | |
Dr. Jason Michael Epeneter, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 715 N 12th St, Tacoma, WA 98403 Phone: 253-722-3437 Fax: 253-683-3001 | |
Dr. Michael Lee Wall Ii, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 13412 Pacific Ave S, Tacoma, WA 98444 Phone: 253-531-5242 Fax: 253-537-7293 | |
Dr. Michael David Clifton, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1702 South 72nd Street, Tacoma, WA 98408 Phone: 253-474-0677 |