Provider Demographics
NPI:1306429725
Name:TOWERS FAMILY CHIROPRACTIC
Entity type:Organization
Organization Name:TOWERS FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:GOLDEN
Authorized Official - Last Name:LARSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:425-898-3055
Mailing Address - Street 1:23515 NE NOVELTY HILL RD STE B225
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98053-2073
Mailing Address - Country:US
Mailing Address - Phone:425-898-8000
Mailing Address - Fax:425-898-8005
Practice Address - Street 1:23515 NE NOVELTY HILL RD STE B225
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98053-2073
Practice Address - Country:US
Practice Address - Phone:425-898-8000
Practice Address - Fax:425-898-8005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-03
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty