Provider Demographics
NPI:1093173049
Name:CHIROBODY
Entity Type:Organization
Organization Name:CHIROBODY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:ARREOLA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:425-338-5537
Mailing Address - Street 1:10315 19TH AVE SE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-4268
Mailing Address - Country:US
Mailing Address - Phone:425-338-5537
Mailing Address - Fax:844-783-6456
Practice Address - Street 1:10315 19TH AVE SE
Practice Address - Street 2:SUITE 106
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98208-4268
Practice Address - Country:US
Practice Address - Phone:425-338-5537
Practice Address - Fax:844-783-6456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-05
Last Update Date:2016-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH 602551862111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty