Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | CH60575908 | WA |
N | 111NP0017X | Pediatric Chiropractor | CH60575908 | WA |
NPI | 1669918629 |
---|---|
Provider Name | Dr. Michelle Law |
First Address | Seattle, WA 98109 |
Second Address | Seattle, WA 98109 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2017 |
Last Update Date | 12/02/2020 |