Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | CH00033892 | WA |
NPI | 1215007711 |
---|---|
Provider Name | Dr. Leah Meadows |
First Address | Kirkland, WA 98034-5234 |
Second Address | Kirkland, WA 98034-5234 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
141927 | STATE L&I (01) | WA |
U98207 | (02) | WA |