Provider Demographics
NPI:1992033658
Name:REDMOND MARKET PLACE CHIROPRACTIC
Entity Type:Organization
Organization Name:REDMOND MARKET PLACE CHIROPRACTIC
Other - Org Name:TOWERS FAMILY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:TOWERS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:425-898-8000
Mailing Address - Street 1:23515 NE NOVELTY HILL RD
Mailing Address - Street 2:SUITE B-225
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98053-1996
Mailing Address - Country:US
Mailing Address - Phone:425-898-8000
Mailing Address - Fax:425-898-8005
Practice Address - Street 1:23515 NE NOVELTY HILL RD
Practice Address - Street 2:SUITE B-225
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98053-1996
Practice Address - Country:US
Practice Address - Phone:425-898-8000
Practice Address - Fax:425-898-8005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-18
Last Update Date:2015-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty