Doctor Name: | ALYSSA ANDREA ALEXIS |
NPI Number: | 1528402450 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMP |
License Number: | MA60343902 |
Business Practice Address: | 17620 140th Ave Se Suite C-5 Renton, WA - 980586813 |
Business Phone Number: | 4252282225 |
Business Fax Number: | |
Mailing Address: | 1109 3rd St Se, Unit A AUBURN |
State: | WA |
Postal Code: | 980025754 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/22/2013 |
NPI Last Update Date: | 11/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | MA60343902 |
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. |