Provider Demographics
NPI:1194936369
Name:ADON'AI CHIROPRACTIC & WOMEN'S REHABILITATION, INC.
Entity type:Organization
Organization Name:ADON'AI CHIROPRACTIC & WOMEN'S REHABILITATION, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARON-ROSE
Authorized Official - Middle Name:DAVIDSON
Authorized Official - Last Name:FITCH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:253-581-8456
Mailing Address - Street 1:5900 100TH ST SW
Mailing Address - Street 2:SUITE #14
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98499-2749
Mailing Address - Country:US
Mailing Address - Phone:253-581-8456
Mailing Address - Fax:253-581-8464
Practice Address - Street 1:5900 100TH ST SW
Practice Address - Street 2:SUITE #14
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98499-2749
Practice Address - Country:US
Practice Address - Phone:253-581-8456
Practice Address - Fax:253-581-8464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034025111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAB32312Medicare ID - Type UnspecifiedGROUP