Doctor Name: | DR. RANDY S BRYANT |
NPI Number: | 1003975491 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | CH00034372 |
Business Practice Address: | 12443 Bel Red Rd Suite 310 Bellevue, WA - 980052534 |
Business Phone Number: | 4258900142 |
Business Fax Number: | 4254124949 |
Mailing Address: | 705 141st Pl Ne # C4, BELLEVUE |
State: | WA |
Postal Code: | 980074752 |
Phone Number: | 4258906385 |
Fax Number: | 4254124949 |
NPI Enumeration Date: | 12/08/2006 |
NPI Last Update Date: | 06/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | CH00034372 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |