Doctor Name: | DR. MARCY JACKSON SULLIVAN |
NPI Number: | 1831354661 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C. |
License Number: | CH60030710 |
Business Practice Address: | 205 Clark Pl Se Tumwater, WA - 985014062 |
Business Phone Number: | 3605700332 |
Business Fax Number: | 3605702060 |
Mailing Address: | 205 Clark Pl Se, TUMWATER |
State: | WA |
Postal Code: | 985014062 |
Phone Number: | 3605700332 |
Fax Number: | 3605702060 |
NPI Enumeration Date: | 07/21/2008 |
NPI Last Update Date: | 10/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | CH60030710 |
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. |