Deena A Bramme, OTA/L

Individual provider Active NPI Chiropractor · Cle Elum, WA

NPI 1184889438 · NPPES record last updated Mar 4, 2020

Key facts

NPI
1184889438
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
MA00011165 (WA)
Practice address
202 W 1St St
Suite 1
Cle Elum, WA 98922
Phone
(509) 674-5057
Fax
(509) 674-6946
NPI assigned
Jul 25, 2008
Sex
Female
Sole proprietor
No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MA00011165WAMDChiropractor
OC00000566WAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
East Cascade Chiropractic, PLLC Chiropractor Current
since Mar 9, 2020
Accepting new patients
SHC Services Inc. Past Accepting new patients
Supplemental Healthcare Past Accepting new patients

Locations

202 W 1st St
Ste 1
Cle Elum, WA 98922
Phone (509) 674-5057

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OC00000566 WA
Chiropractor 111N00000X MA00011165 WA Yes

Addresses

Primary practice location

202 W 1St St
Suite 1
Cle Elum, WA 98922

Mailing address

970 Nelson Siding Rd
Suite 210
Cle Elum, WA 98922
Phone (866) 835-8091

Other providers in Cle Elum, WA

All providers in Cle Elum, WA · Chiropractor in Washington

Sources for this page

Verify at the official NPI Registry.