Provider Demographics
NPI:1568541910
Name:MESSER, KERI ANN (DC)
Entity Type:Individual
Prefix:MRS
First Name:KERI
Middle Name:ANN
Last Name:MESSER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:KERI
Other - Middle Name:ANN
Other - Last Name:HAXTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:11430 51ST AVE NW
Mailing Address - Street 2:SUITE 101 A
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98332-7897
Mailing Address - Country:US
Mailing Address - Phone:253-857-6500
Mailing Address - Fax:253-857-2225
Practice Address - Street 1:11430 51ST AVE NW
Practice Address - Street 2:SUITE 101 A
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98332-7897
Practice Address - Country:US
Practice Address - Phone:253-857-6500
Practice Address - Fax:253-857-2225
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2012-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034443111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0221444OtherWORKERS COMP
WA208757802OtherTAX ID NUMBER