Provider Demographics
NPI:1770806556
Name:MESSERSCHMIDT, JESSE ALAN (DC)
Entity type:Individual
Prefix:DR
First Name:JESSE
Middle Name:ALAN
Last Name:MESSERSCHMIDT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:13003 SE KENT KANGLEY RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98030-7919
Mailing Address - Country:US
Mailing Address - Phone:253-638-2424
Mailing Address - Fax:253-639-5115
Practice Address - Street 1:13003 SE KENT KANGLEY RD
Practice Address - Street 2:SUITE 110
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98030-7919
Practice Address - Country:US
Practice Address - Phone:253-638-2424
Practice Address - Fax:253-639-5115
Is Sole Proprietor?:No
Enumeration Date:2010-03-08
Last Update Date:2010-04-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WACH60133399111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor