Provider Demographics
NPI:1891828968
Name:WRIGHT, MARY K (DC)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:K
Last Name:WRIGHT
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 1:22002 64TH AVE W
Mailing Address - Street 2:SUITE 2E
Mailing Address - City:MOUNTLAKE TERRACE
Mailing Address - State:WA
Mailing Address - Zip Code:98043-2528
Mailing Address - Country:US
Mailing Address - Phone:425-774-7982
Mailing Address - Fax:425-672-4464
Practice Address - Street 1:22002 64TH AVE W
Practice Address - Street 2:SUITE 2E
Practice Address - City:MOUNTLAKE TERRACE
Practice Address - State:WA
Practice Address - Zip Code:98043-2528
Practice Address - Country:US
Practice Address - Phone:425-774-7982
Practice Address - Fax:425-672-4464
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00002908111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2022218Medicaid
WA2022218Medicaid