| Chiro One Wellness Center Of South Lake Union Pllc | |
|
235 Westlake Ave N, Seattle, WA 98109-5217 | |
| (206) 749-5253 | |
| Not Available |
| Full Name | Chiro One Wellness Center Of South Lake Union Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 235 Westlake Ave N, Seattle, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881358158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Cody Drake |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1740545433 PECOS PAC ID: 0143477810 Enrollment ID: I20120831000278 |
| Provider Name | Jordan A Smith |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1477055366 PECOS PAC ID: 4587914361 Enrollment ID: I20180829003022 |
| Provider Name | Kathleen Ann Cabrera |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1336929827 PECOS PAC ID: 0749636298 Enrollment ID: I20231019003022 |
| Mailing Address | Practice Location Address |
|---|---|
| Chiro One Wellness Center Of South Lake Union Pllc 2625 Butterfield Rd Ste 301n, Oak Brook, IL 60523-1266 Ph: (630) 468-1824 | Chiro One Wellness Center Of South Lake Union Pllc 235 Westlake Ave N, Seattle, WA 98109-5217 Ph: (206) 749-5253 |
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