Provider Demographics
NPI:1790252203
Name:KEY CENTER CHIROPRACTIC AND MASSAGE
Entity Type:Organization
Organization Name:KEY CENTER CHIROPRACTIC AND MASSAGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:NATHANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HOVE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:253-720-6903
Mailing Address - Street 1:14717 84TH AVENUE CT NW
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98329-8832
Mailing Address - Country:US
Mailing Address - Phone:253-720-6903
Mailing Address - Fax:
Practice Address - Street 1:9013 KEY PENINSULA HWY NW
Practice Address - Street 2:
Practice Address - City:LAKEBAY
Practice Address - State:WA
Practice Address - Zip Code:98349-8518
Practice Address - Country:US
Practice Address - Phone:253-884-3040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-01
Last Update Date:2018-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty