Provider Demographics
NPI:1245828326
Name:RUBIO, KADIE DENAE (DC)
Entity type:Individual
Prefix:DR
First Name:KADIE
Middle Name:DENAE
Last Name:RUBIO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:KADIE
Other - Middle Name:DENAE
Other - Last Name:SNAZA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:812 39TH AVE S.W. SUITE A
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98373-5915
Mailing Address - Country:US
Mailing Address - Phone:253-268-0666
Mailing Address - Fax:360-923-0404
Practice Address - Street 1:812 39TH AVE S.W. SUITE A
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98373-5915
Practice Address - Country:US
Practice Address - Phone:253-268-0666
Practice Address - Fax:360-923-0404
Is Sole Proprietor?:No
Enumeration Date:2021-01-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH61133878111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WACH61133878OtherWASHINGTON DEPARTMENT OF HEALTH