Provider Demographics
NPI:1407324791
Name:MCALLISTER, KATHERINE ANNE (DC, AA, BS)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:ANNE
Last Name:MCALLISTER
Suffix:
Gender:F
Credentials:DC, AA, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 SW 12TH AVE
Mailing Address - Street 2:
Mailing Address - City:BATTLE GROUND
Mailing Address - State:WA
Mailing Address - Zip Code:98604-4371
Mailing Address - Country:US
Mailing Address - Phone:360-666-7722
Mailing Address - Fax:360-666-3388
Practice Address - Street 1:15 SW 12TH AVE
Practice Address - Street 2:
Practice Address - City:BATTLE GROUND
Practice Address - State:WA
Practice Address - Zip Code:98604-4371
Practice Address - Country:US
Practice Address - Phone:360-666-7722
Practice Address - Fax:360-666-3388
Is Sole Proprietor?:No
Enumeration Date:2018-11-05
Last Update Date:2018-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60909653111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor