Organization Name: | CREEKSIDE CHIROPRACTIC AND MASSAGE, PS |
NPI Number: | 1538323373 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LISSA A GRANNIS (OWNDER, D.C.) |
Mailing Address: | 6210 75th St W Suite A-100 Lakewood |
State: | WA US |
Postal Code: | 984998101 |
Phone Number: | 2535881800 |
Fax Number: | 2535888781 |
NPI Enumeration Date: | 07/10/2008 |
NPI Last Update Date: | 07/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |