John Patrick Kellogg, D.C.
Individual provider Active NPI Rehabilitation Chiropractor · Tacoma, WA
NPI 1962459321 · NPPES record last updated Apr 10, 2013
Key facts
- NPI
- 1962459321
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rehabilitation Chiropractor 111NR0400X
- License
- CH00034147 (WA)
- Practice address
- 7817 Pacific Ave
Tacoma, WA 98408-7036 - Phone
- (253) 472-6061
- Fax
- (253) 472-6195
- NPI assigned
- May 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kevin Truong, DMD PLLC | Past | Accepting new patients | |
| Clark Therapeutic Massage | Past | Accepting new patients | |
| Pacific Spine Center | Past | Accepting new patients | |
| Pacific Spine Center LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | CH00034147 | WA | Yes |
Addresses
Primary practice location
7817 Pacific Ave
Tacoma, WA 98408-7036
Mailing address
7817 Pacific Ave
Tacoma, WA 98408-7036
Phone (253) 472-6061
Other providers in Tacoma, WA
- Georgie Kelley
- Glen E Kelley
- James L Kelley
- Larisa Kelley
- Erik Daniel Kellison
- Will Kellogg
- Kelly a Blasko PHD LLC
- Denise Kelly-Ballweber
- Abigail Kelly
- Brittany Aimee Kelly
All providers in Tacoma, WA · Rehabilitation Chiropractor in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.