Provider Demographics
NPI:1932469657
Name:FINESSE CHIROPRACTIC PS
Entity Type:Organization
Organization Name:FINESSE CHIROPRACTIC PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARVIN
Authorized Official - Middle Name:I
Authorized Official - Last Name:KUNIKIYO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:360-918-8782
Mailing Address - Street 1:5401 CORPORATE CENTER LOOP SE STE R
Mailing Address - Street 2:
Mailing Address - City:LACEY
Mailing Address - State:WA
Mailing Address - Zip Code:98503-5606
Mailing Address - Country:US
Mailing Address - Phone:360-918-8782
Mailing Address - Fax:360-972-2096
Practice Address - Street 1:5401 CORPORATE CENTER LOOP SE STE K11
Practice Address - Street 2:
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98503-5606
Practice Address - Country:US
Practice Address - Phone:360-918-8782
Practice Address - Fax:360-972-2096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-29
Last Update Date:2018-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH000002656111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty