Provider Demographics
NPI:1033402029
Name:INTUITIVE GROUP, INC
Entity Type:Organization
Organization Name:INTUITIVE GROUP, INC
Other - Org Name:INTUITIVE CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHONG
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:YUN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:360-339-7177
Mailing Address - Street 1:7914 MARTIN WAY E
Mailing Address - Street 2:#8
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98516
Mailing Address - Country:US
Mailing Address - Phone:360-339-7177
Mailing Address - Fax:360-491-9290
Practice Address - Street 1:7914 MARTIN WAY E
Practice Address - Street 2:#8
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98516
Practice Address - Country:US
Practice Address - Phone:360-339-7177
Practice Address - Fax:360-491-9290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-24
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH 000034285111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty