Provider Demographics
NPI:1275715591
Name:AXIS HEALTH, PLLC
Entity Type:Organization
Organization Name:AXIS HEALTH, PLLC
Other - Org Name:ATLAS CHIROPRACTIC HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:APHRODITE
Authorized Official - Middle Name:CORINNE
Authorized Official - Last Name:XIDOS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:206-324-2225
Mailing Address - Street 1:1401 E JEFFERSON ST
Mailing Address - Street 2:SUITE 501
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-5576
Mailing Address - Country:US
Mailing Address - Phone:206-324-2225
Mailing Address - Fax:206-324-5244
Practice Address - Street 1:1401 E JEFFERSON ST
Practice Address - Street 2:SUITE 501
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-5576
Practice Address - Country:US
Practice Address - Phone:206-324-2225
Practice Address - Fax:206-324-5244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-28
Last Update Date:2017-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034123111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1558559385OtherPROVIDER NPI
WA196797OtherSTATE LABOR & INDUSTRIES
WAMA00023886OtherMASSAGE LICENSE
WAU93842OtherUPIN
WACH00034123OtherSTATE LICENSE
CH00102OtherOFFICEALLY
WAMA00023886OtherMASSAGE LICENSE
CH00102OtherOFFICEALLY