Provider Demographics
NPI:1104231117
Name:KAISER, STEVEN (DC)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:KAISER
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 5TH AVE S STE 7
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98020-3638
Mailing Address - Country:US
Mailing Address - Phone:206-900-3795
Mailing Address - Fax:206-420-5349
Practice Address - Street 1:203 5TH AVE S STE 7
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98020-3638
Practice Address - Country:US
Practice Address - Phone:206-900-3795
Practice Address - Fax:206-420-5349
Is Sole Proprietor?:No
Enumeration Date:2014-06-27
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60474806111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor