Marc Alan Imlay, D.C. AND LAC.

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

CH00001662 Issued in WA

Practice address

24625 148TH Ave. SE
Kent, WA 98042-5227

Phone

(253) 630-1910

Fax

(253) 630-1910

NPI assigned

May 7, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1174736185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24625 148TH AVE. SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980425227",
            "telephone_number": "253-630-1910",
            "fax_number": "253-630-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24625 148TH AVE. SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980425227",
            "telephone_number": "253-630-1910",
            "fax_number": "253-630-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMLAY",
        "first_name": "MARC",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C. AND LAC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001662",
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "WA",
            "license": "CH00001662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nutrition Chiropractor in Kent, WA
• Providers in Kent, WA by specialty
• Nutrition Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.