Sky Chiropractic and Massage PS Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 00003526 Issued in WA

Legal business name

SKY CHIROPRACTIC AND MASSAGE PS INC

Practice address

757 Rainier Ave S Ste 3
Renton, WA 98057-3200

Phone

(425) 255-5886

NPI assigned

Apr 30, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Sky Boulom, DCNPI 1245459718

Title

President

Phone

(425) 773-8553

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sky Boulom, DC

  • Chiropractor
  • Lynnwood, WA
  • NPI 1245459718
  NPD Authorized official

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1346650330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710A S 38TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984186718",
            "telephone_number": "253-830-6899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 RAINIER AVE S STE 3",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980573200",
            "telephone_number": "425-255-5886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710A S 38th St",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984186718",
            "country_code": "US",
            "telephone_number": "425-830-6899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SKY CHIROPRACTIC AND MASSAGE PS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-30",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "BOULOM",
        "authorized_official_first_name": "SKY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-773-8553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH 00003526",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60769473",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tajinder Singh, RN
• Tawnia Barrow Singleton, MS, LMHC
• Sisters in Common
• Molly Skinner-Day, FNP, APRN
• SKR Physicians PLLC
• Slater Lin PLLC
• Tamara Jean Sleeter, MD
• Shannon Leigh Sluys, CNM
• Brett Walter Smaga, DO
• SMC Day Surgery

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.