Provider Demographics
NPI:1457577926
Name:ALL STAR CHIROPRACTIC & MASSAGE
Entity Type:Organization
Organization Name:ALL STAR CHIROPRACTIC & MASSAGE
Other - Org Name:ALL STAR MASSAGE & SPA
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:C
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:425-635-0544
Mailing Address - Street 1:9 LAKE BELLEVUE DR
Mailing Address - Street 2:SUITE 113
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-2454
Mailing Address - Country:US
Mailing Address - Phone:425-635-0544
Mailing Address - Fax:425-450-0365
Practice Address - Street 1:9 LAKE BELLEVUE DR
Practice Address - Street 2:SUITE 113
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-2454
Practice Address - Country:US
Practice Address - Phone:425-635-0544
Practice Address - Fax:425-450-0365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2016-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00021246174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty