Provider Demographics
NPI:1093983249
Name:WHITTAKER, NATASHA NADINE (BSC BS DC CSCS)
Entity Type:Individual
Prefix:DR
First Name:NATASHA
Middle Name:NADINE
Last Name:WHITTAKER
Suffix:
Gender:F
Credentials:BSC BS DC CSCS
Other - Prefix:DR
Other - First Name:NATASHA
Other - Middle Name:NADINE
Other - Last Name:WHITTAKER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BSC BS DC CSCS
Mailing Address - Street 1:3817 NE 82ND ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-4917
Mailing Address - Country:US
Mailing Address - Phone:206-979-8274
Mailing Address - Fax:
Practice Address - Street 1:2366 EASTLAKE AVE E
Practice Address - Street 2:333
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102-3366
Practice Address - Country:US
Practice Address - Phone:206-420-7926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-11
Last Update Date:2013-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034767111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor