Provider Demographics
NPI:1851869960
Name:TRACHSEL, ADAM DOUGLAS (DC)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:DOUGLAS
Last Name:TRACHSEL
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 1:2627 CAPITAL MALL DR SW STE 3A
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98502-8616
Mailing Address - Country:US
Mailing Address - Phone:360-786-6322
Mailing Address - Fax:
Practice Address - Street 1:2627 CAPITAL MALL DR SW STE 3A
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98502-8616
Practice Address - Country:US
Practice Address - Phone:360-786-6322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-06
Last Update Date:2018-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60808797111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor