Provider Demographics
NPI:1750679825
Name:ROBINSON, WESLEY ALLEN (DC)
Entity Type:Individual
Prefix:DR
First Name:WESLEY
Middle Name:ALLEN
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15301 MAPLE VALLEY HWY STE 300
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98058-8128
Mailing Address - Country:US
Mailing Address - Phone:425-988-3146
Mailing Address - Fax:425-988-3151
Practice Address - Street 1:15301 MAPLE VALLEY HWY STE 300
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98058-8128
Practice Address - Country:US
Practice Address - Phone:425-988-3146
Practice Address - Fax:425-988-3151
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-11
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60227624111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor