Provider Demographics
NPI:1366847113
Name:MYERS, KURT HENRY (DC)
Entity Type:Individual
Prefix:DR
First Name:KURT
Middle Name:HENRY
Last Name:MYERS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6311 BURDEN BLVD STE E
Mailing Address - Street 2:
Mailing Address - City:PASCO
Mailing Address - State:WA
Mailing Address - Zip Code:99301-8501
Mailing Address - Country:US
Mailing Address - Phone:509-547-4849
Mailing Address - Fax:509-547-4846
Practice Address - Street 1:2816 E 30TH AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99223-4782
Practice Address - Country:US
Practice Address - Phone:509-535-5771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-22
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60719314111N00000X
UT9178910-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor