Provider Demographics
NPI:1073857835
Name:MACY, ANNABETH (DC)
Entity Type:Individual
Prefix:DR
First Name:ANNABETH
Middle Name:
Last Name:MACY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7409 GREENWOOD AVE N
Mailing Address - Street 2:SUITE D
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-5063
Mailing Address - Country:US
Mailing Address - Phone:206-297-1126
Mailing Address - Fax:206-420-4476
Practice Address - Street 1:7409 GREENWOOD AVE N
Practice Address - Street 2:SUITE D
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-5063
Practice Address - Country:US
Practice Address - Phone:206-297-1126
Practice Address - Fax:206-420-4476
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-18
Last Update Date:2012-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH 60244733111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor