Provider Demographics
NPI:1073873808
Name:CULP, RYAN EVERETT (DC)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:EVERETT
Last Name:CULP
Suffix:
Gender:M
Credentials:DC
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Mailing Address - Street 1:15 SW EVERETT MALL WAY
Mailing Address - Street 2:STE G
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98204-2715
Mailing Address - Country:US
Mailing Address - Phone:425-355-5222
Mailing Address - Fax:425-355-5231
Practice Address - Street 1:15 SW EVERETT MALL WAY
Practice Address - Street 2:STE G
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98204-2715
Practice Address - Country:US
Practice Address - Phone:425-355-5222
Practice Address - Fax:425-355-5231
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-27
Last Update Date:2016-12-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WACH34768111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor