Provider Demographics
NPI:1801452412
Name:DYNAMIC CHIROS OF AUBURN PLLC
Entity type:Organization
Organization Name:DYNAMIC CHIROS OF AUBURN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:253-839-2650
Mailing Address - Street 1:3820 S 320TH ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98001-3115
Mailing Address - Country:US
Mailing Address - Phone:253-839-2650
Mailing Address - Fax:253-839-4528
Practice Address - Street 1:3820 S 320TH ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98001-3115
Practice Address - Country:US
Practice Address - Phone:253-839-2650
Practice Address - Fax:253-839-4528
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-20
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty