Healthy Spine Chiropractic, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH60533863 Issued in WA

Legal business name

HEALTHY SPINE CHIROPRACTIC, PLLC

Practice address

331 NE Lechner St
Camas, WA 98607-2445

Phone

(360) 798-5652

NPI assigned

Nov 13, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cecelia Mikles, D.C.

Title

Owner

Phone

(360) 584-5506

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447372800000",
    "number": "1073986097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 E 14TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986615424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 NE LECHNER ST",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986072445",
            "telephone_number": "360-798-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY SPINE CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-13",
        "last_updated": "2015-11-13",
        "status": "A",
        "authorized_official_last_name": "MIKLES",
        "authorized_official_first_name": "CECELIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-584-5506",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60533863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1306239884",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Camas, WA
• Providers in Camas, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.