Provider Demographics
NPI:1124360201
Name:PEARL CHIROPRACTIC, P S
Entity type:Organization
Organization Name:PEARL CHIROPRACTIC, P S
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEENA
Authorized Official - Middle Name:C
Authorized Official - Last Name:BERNDT-MORROW
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:253-970-5077
Mailing Address - Street 1:7025 27TH ST W
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY PLACE
Mailing Address - State:WA
Mailing Address - Zip Code:98466-5221
Mailing Address - Country:US
Mailing Address - Phone:253-970-5077
Mailing Address - Fax:253-327-1296
Practice Address - Street 1:7025 27TH ST W STE 1
Practice Address - Street 2:
Practice Address - City:UNIVERSITY PLACE
Practice Address - State:WA
Practice Address - Zip Code:98466-5221
Practice Address - Country:US
Practice Address - Phone:253-970-5077
Practice Address - Fax:253-327-1296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-26
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty