Provider Demographics
NPI:1306156898
Name:DISCOVER HEALTH CHIROPRACTIC
Entity type:Organization
Organization Name:DISCOVER HEALTH CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:REANNA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:PLANCICH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:206-577-3588
Mailing Address - Street 1:6739 15TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98117-5508
Mailing Address - Country:US
Mailing Address - Phone:206-577-3588
Mailing Address - Fax:
Practice Address - Street 1:6739 15TH AVE NW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98117-5508
Practice Address - Country:US
Practice Address - Phone:206-577-3588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-18
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60157667111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty