Provider Demographics
NPI:1922375096
Name:GARCIA, ADAM THOMAS (DC)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:THOMAS
Last Name:GARCIA
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:PO BOX 1855
Mailing Address - Street 2:
Mailing Address - City:MORTON
Mailing Address - State:WA
Mailing Address - Zip Code:98356-1800
Mailing Address - Country:US
Mailing Address - Phone:651-762-8040
Mailing Address - Fax:651-762-8070
Practice Address - Street 1:193 MAIN AVE SUITE A
Practice Address - Street 2:
Practice Address - City:MORTON
Practice Address - State:WA
Practice Address - Zip Code:98356-1800
Practice Address - Country:US
Practice Address - Phone:360-496-6600
Practice Address - Fax:888-598-6638
Is Sole Proprietor?:No
Enumeration Date:2011-11-17
Last Update Date:2017-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60509183111N00000X
MN5521111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor