Provider Demographics
NPI:1992180020
Name:KLIER, DEREK ANTHONY (DC)
Entity Type:Individual
Prefix:DR
First Name:DEREK
Middle Name:ANTHONY
Last Name:KLIER
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 1:1017 7TH ST
Mailing Address - Street 2:
Mailing Address - City:ANACORTES
Mailing Address - State:WA
Mailing Address - Zip Code:98221-4105
Mailing Address - Country:US
Mailing Address - Phone:360-293-6611
Mailing Address - Fax:360-299-2021
Practice Address - Street 1:1017 7TH ST
Practice Address - Street 2:
Practice Address - City:ANACORTES
Practice Address - State:WA
Practice Address - Zip Code:98221-4105
Practice Address - Country:US
Practice Address - Phone:360-293-6611
Practice Address - Fax:360-299-2021
Is Sole Proprietor?:No
Enumeration Date:2015-07-30
Last Update Date:2015-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60584349111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor