Provider Demographics
NPI:1942497664
Name:CHIROFIT, P.S.
Entity Type:Organization
Organization Name:CHIROFIT, P.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FLAHERTY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:253-535-1096
Mailing Address - Street 1:10909 PORTLAND AVE E
Mailing Address - Street 2:SUITE F
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98445-5252
Mailing Address - Country:US
Mailing Address - Phone:253-535-1096
Mailing Address - Fax:253-535-1349
Practice Address - Street 1:10909 PORTLAND AVE E
Practice Address - Street 2:SUITE F
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98445-5252
Practice Address - Country:US
Practice Address - Phone:253-535-1096
Practice Address - Fax:253-535-1349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-26
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034265111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty