Kinetic Chiropractic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

KINETIC CHIROPRACTIC LLC

Doing business as

Kinetic Chiropractic LLC

Practice address

23403 E Mission Ave Ste 228
Liberty Lake, WA 99019-7553

Phone

(509) 645-2721

NPI assigned

Dec 22, 2023

Last updated

Nov 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sylvia Tripp, DCNPI 1083086086

Title

Chiropractic Physician

Phone

(509) 645-2721

Specialties & licenses 1

Addresses

Other names 1

• Kinetic Chiropractic LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in WA, ID2 enrollments

Enrollment records 2

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sylvia Tripp, D.C.

  • Chiropractor
  • Woodinville, WA
  • NPI 1083086086

  ID

  Medicare reassignment Care Compare group Authorized official
• Haiden Garrett

  • Chiropractor
  • Post Falls, ID
  • NPI 1366318529
  Medicare reassignment Care Compare group NPD
• Brittany Claire Correll, D.C.

  • Chiropractor
  • Liberty Lake, WA
  • NPI 1033534482
  NPD
• Ashley Marie Lewis, LMT

  • Massage Therapist
  • Post Falls, ID
  • NPI 1619868700
  NPD
• Katelyn Grace Jesienouski

  • Massage Therapist
  • Liberty Lake, WA
  • NPI 1831042522
  NPD (past)
• Sarah Judge, MASSAGE THERAPIST

  • Massage Therapist
  • Coeur d'Alene, ID
  • NPI 1538624283
  NPD (past)
• Brandy Kramer, LMT

  • Massage Therapist
  • Coeur d'Alene, ID
  • NPI 1811347370
  NPD (past)
• Callista Martial

  • Massage Therapist
  • Post Falls, ID
  • NPI 1942140868
  NPD (past)

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

{
    "created_epoch": "1703203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1801665567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 N HODGES LN",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990168586",
            "telephone_number": "206-265-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23403 E MISSION AVE STE 228",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990197553",
            "telephone_number": "509-645-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETIC CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-22",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "TRIPP",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "509-645-2721",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kinetic Chiropractic LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren E Kalberer, L.M.P.
• Karey Kananda, APRN
• Lisa June Kangas, OTR
• Keenan Milonas M.D. Professional Services PLLC (Custom MD)
• Criswell Allen Kennedy, M.D.
• Kingsford Physical Therapy and Wellness PLLC
• Braiden Kingsford, DPT
• Leaann P Kinney, PHARMD
• Kenzi Kuemper
• Marian J Kuhlman, L.M.T.

• Clinic/Center in Liberty Lake, WA
• Providers in Liberty Lake, WA by specialty
• Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.