Provider Demographics
NPI:1316287477
Name:CADLE, STEVEN MILES (DC)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:MILES
Last Name:CADLE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3775 MARTIN WAY E STE B2
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98506-5007
Mailing Address - Country:US
Mailing Address - Phone:360-292-6003
Mailing Address - Fax:360-292-6006
Practice Address - Street 1:3775 MARTIN WAY E STE B2
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98506-5007
Practice Address - Country:US
Practice Address - Phone:360-292-6003
Practice Address - Fax:360-292-6006
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-26
Last Update Date:2013-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60326939111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor