| Pro Sport And Spine Pllc | |
|
5125 Olympic Dr Nw, Suite 110, Gig Harbor, WA 98335-1712 | |
| (253) 853-4000 | |
| Not Available |
| Full Name | Pro Sport And Spine Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Sports Physician |
| Location | 5125 Olympic Dr Nw, Gig Harbor, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841672433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NR0400X | Chiropractor - Rehabilitation | CH60071160 (Washington) | Secondary |
| 111NS0005X | Chiropractor - Sports Physician | CH60066715 (Washington) | Primary |
| Provider Name | Sean B Spaulding |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1922247402 PECOS PAC ID: 0042376766 Enrollment ID: I20090304000794 |
| Provider Name | Forrest R E Hartford |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1609015247 PECOS PAC ID: 3173711942 Enrollment ID: I20101221000014 |
| Provider Name | Troy H Holder |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1710282959 PECOS PAC ID: 4082896840 Enrollment ID: I20110315000909 |
| Provider Name | Michael P Polillo |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1700244670 PECOS PAC ID: 5890092019 Enrollment ID: I20160401000592 |
| Provider Name | Andrea D Gardner |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1194238857 PECOS PAC ID: 2163780495 Enrollment ID: I20200225002329 |
| Provider Name | Trey Farber |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1316536808 PECOS PAC ID: 2769897198 Enrollment ID: I20210217002593 |
| Provider Name | Patrick Engracia |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1295166353 PECOS PAC ID: 2961803903 Enrollment ID: I20210628002038 |
| Provider Name | Sarah Crockett |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1891449914 PECOS PAC ID: 4082008297 Enrollment ID: I20220304001594 |
| Provider Name | Benjamin Pruden |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1265159438 PECOS PAC ID: 1456720929 Enrollment ID: I20221206002271 |
| Provider Name | Zachary T Mooney |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1912784638 PECOS PAC ID: 1759737851 Enrollment ID: I20231025003765 |
| Provider Name | Addison Grisaffi |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1407392178 PECOS PAC ID: 0042595647 Enrollment ID: I20240125003577 |
| Mailing Address | Practice Location Address |
|---|---|
| Pro Sport And Spine Pllc 5125 Olympic Dr Nw, Suite 110, Gig Harbor, WA 98335-1712 Ph: (253) 853-4000 | Pro Sport And Spine Pllc 5125 Olympic Dr Nw, Suite 110, Gig Harbor, WA 98335-1712 Ph: (253) 853-4000 |
Wai P Yip, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3312 Rosedale St Nw, Suite 104, Gig Harbor, WA 98335 Phone: 253-851-1733 Fax: 253-851-4333 | |
Christian Cohen, Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 7108 Pioneer Way Ste A, Gig Harbor, WA 98335 Phone: 253-858-2474 | |
Dr. Lukas Harksen, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7108 Pioneer Way Ste A, Gig Harbor, WA 98335 Phone: 253-858-2474 | |
Dr. Nolan Craig Ethridge, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 11515 Burnham Dr # 101, Gig Harbor, WA 98332 Phone: 253-858-5152 Fax: 253-858-5153 | |
Duppenthaler Family Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 6659 Kimball Dr, Suite A-102, Gig Harbor, WA 98335 Phone: 253-857-9100 Fax: 253-857-3110 | |
Apex Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5122 Olympic Dr Nw, Suite B-203, Gig Harbor, WA 98335 Phone: 253-509-3966 | |
Lewis Family Chiropractic & Wellness, Pllc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3214 50th Street Ct Nw, Ste. 204, Gig Harbor, WA 98335 Phone: 253-858-9783 Fax: 253-444-3783 |