Provider Demographics
NPI:1841562162
Name:PLACKE, ROSALIND ELIZABETH (DC)
Entity Type:Individual
Prefix:DR
First Name:ROSALIND
Middle Name:ELIZABETH
Last Name:PLACKE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21802 SWEENEY RD SE
Mailing Address - Street 2:
Mailing Address - City:MAPLE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98038-6415
Mailing Address - Country:US
Mailing Address - Phone:563-579-9918
Mailing Address - Fax:
Practice Address - Street 1:16704 INTERNATIONAL BLVD
Practice Address - Street 2:
Practice Address - City:SEATAC
Practice Address - State:WA
Practice Address - Zip Code:98188-3116
Practice Address - Country:US
Practice Address - Phone:206-246-8830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-01
Last Update Date:2014-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60264847111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor