Provider Demographics
NPI:1518185610
Name:RYDER-HOLT, INC
Entity Type:Organization
Organization Name:RYDER-HOLT, INC
Other - Org Name:SEATTLE HILL FAMILY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TRACEY
Authorized Official - Middle Name:A
Authorized Official - Last Name:RYDER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:425-585-0507
Mailing Address - Street 1:4809 132ND ST SE
Mailing Address - Street 2:#C101
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208
Mailing Address - Country:US
Mailing Address - Phone:425-585-0507
Mailing Address - Fax:425-948-7947
Practice Address - Street 1:4809 132ND ST SE
Practice Address - Street 2:#C101
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98208
Practice Address - Country:US
Practice Address - Phone:425-585-0507
Practice Address - Fax:425-948-7947
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RYDER-HOLT INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-04-23
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034253111N00000X, 111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty