Provider Demographics
NPI:1598004962
Name:RENTON CENTER CHIROPRACTIC
Entity Type:Organization
Organization Name:RENTON CENTER CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:RIKKI
Authorized Official - Middle Name:
Authorized Official - Last Name:SIKKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-226-7061
Mailing Address - Street 1:365 RENTON CENTER WAY SW
Mailing Address - Street 2:SUITE F
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057-2324
Mailing Address - Country:US
Mailing Address - Phone:425-226-7061
Mailing Address - Fax:
Practice Address - Street 1:365 RENTON CENTER WAY SW
Practice Address - Street 2:SUITE F
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-2324
Practice Address - Country:US
Practice Address - Phone:425-226-7061
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-05
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60299576261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center