Provider Demographics
NPI:1841658432
Name:WAKELY, CHRISTOPHER K (ND)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:K
Last Name:WAKELY
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:21827 76TH AVE W STE 201
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98026-7981
Mailing Address - Country:US
Mailing Address - Phone:206-803-1045
Mailing Address - Fax:800-905-2197
Practice Address - Street 1:21827 76TH AVE W STE 201
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026-7981
Practice Address - Country:US
Practice Address - Phone:206-803-1045
Practice Address - Fax:800-905-2197
Is Sole Proprietor?:No
Enumeration Date:2016-02-10
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60621830175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath