Provider Demographics
NPI:1528278389
Name:MOBILE CHIROS, PLLC
Entity type:Organization
Organization Name:MOBILE CHIROS, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER AND MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHELLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:CATHREA
Authorized Official - Suffix:
Authorized Official - Credentials:DC, CCSP, CSCS
Authorized Official - Phone:206-419-7580
Mailing Address - Street 1:2200 6TH AVE
Mailing Address - Street 2:SUITE 832
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98121-1896
Mailing Address - Country:US
Mailing Address - Phone:206-419-7580
Mailing Address - Fax:206-728-2274
Practice Address - Street 1:2200 6TH AVE
Practice Address - Street 2:SUITE 832
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98121-1896
Practice Address - Country:US
Practice Address - Phone:206-419-7580
Practice Address - Fax:206-728-2274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACHOOO34033111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Multi-Specialty