Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | CH 60719904 | WA |
NPI | 1093254427 |
---|---|
Provider Name | Matthew Trimner |
First Address | Seattle, WA 98107-3860 |
Second Address | Lynnwood, WA 98036-4731 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2017 |
Last Update Date | 17/02/2017 |