Provider Demographics
NPI:1497103071
Name:ELEMENTS CHIROPRACTIC & WELLNESS CENTER INC PS
Entity Type:Organization
Organization Name:ELEMENTS CHIROPRACTIC & WELLNESS CENTER INC PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JANELLE
Authorized Official - Middle Name:L
Authorized Official - Last Name:CLAYTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:206-327-9799
Mailing Address - Street 1:PO BOX 5002
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98009-5002
Mailing Address - Country:US
Mailing Address - Phone:206-327-9799
Mailing Address - Fax:206-722-5457
Practice Address - Street 1:3207 RAINIER AVE S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98144-6031
Practice Address - Country:US
Practice Address - Phone:206-327-9799
Practice Address - Fax:206-722-5457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-24
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60634034111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty