Provider Demographics
NPI:1811436363
Name:ENDERBY, HALI CARSON (DC)
Entity type:Individual
Prefix:DR
First Name:HALI
Middle Name:CARSON
Last Name:ENDERBY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5340 S 140TH ST
Mailing Address - Street 2:
Mailing Address - City:TUKWILA
Mailing Address - State:WA
Mailing Address - Zip Code:98168-4563
Mailing Address - Country:US
Mailing Address - Phone:607-705-3093
Mailing Address - Fax:844-888-0246
Practice Address - Street 1:7513 SE 27TH ST STE A
Practice Address - Street 2:
Practice Address - City:MERCER ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98040-2845
Practice Address - Country:US
Practice Address - Phone:206-705-3093
Practice Address - Fax:844-888-0246
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-16
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX012889-1111N00000X
WACH60722826111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor