| Organization Name: | REDONDO FAMILY CHIROPRACTIC INC PS |
| NPI Number: | 1154593937 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RANDI SUE DECKER (BILLING) |
| Mailing Address: | 28815 Pacific Hwy S Ste 6 Federal Way |
| State: | WA US |
| Postal Code: | 980033876 |
| Phone Number: | 2539416977 |
| Fax Number: | |
| NPI Enumeration Date: | 04/01/2008 |
| NPI Last Update Date: | 04/14/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |