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Active NPI 1780851477 Organization (Entity Type 2)

Bothell Chiropractic & Wellness, Pllc

Clinic/Center - Health Service • Bothell, WA

About Bothell Chiropractic & Wellness, Pllc NPI 1780851477 Summary

Bothell Chiropractic & Wellness, Pllc is a verified healthcare organization specializing in Clinic/Center - Health Service operating in Bothell, WA. Located at 10024 MAIN ST, SUITE 2-C, this facility provides patient care and medical services under National Provider Identifier (NPI) 1780851477.

Administrative operations and authorized compliance are overseen by Dusty Dubois (Member).

The facility is associated with 15 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

10024 Main St
Suite 2-C

Bothell, WA 980113424

Telephone 4254851413

Authorized Official Information

Authorized Contact Name

DR. Dusty Dubois , D.C.

Title / Role

Member

Official Telephone

4254851413

Facility Classifications & Specialties

Clinic/Center - Health Service Primary Taxonomy

NUCC Taxonomy Code: 261QH0100X

Definition to come...

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

15 Linked
Ayrian Ott , LMP NPI 1003242819

Massage Therapist

Bothell, WA

View Practitioner Profile →
Sarah Leyde , LMP NPI 1093052623

Massage Therapist

Bothell, WA

View Practitioner Profile →

Massage Therapist

Bothell, WA

View Practitioner Profile →

Chiropractor

Bothell, WA

View Practitioner Profile →
Dr. Lynna Lies , DC NPI 1356589477

Chiropractor

Bothell, WA

View Practitioner Profile →
Destiny Kilmer , LMP NPI 1356601447

Massage Therapist

Bothell, WA

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active August 24, 2009

NPI status registered as active in NPPES database

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Updated Practice Location August 24, 2009

Registered at 10024 MAIN ST, SUITE 2-C, BOTHELL, WA 980113424 (Tel: 4254851413)

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Updated Business Mailing Address August 24, 2009

Registered at PO BOX 1286, BOTHELL, WA 980411286 (Tel: 4254851413)

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Organization / Clinic Name Updated August 24, 2009

Operating as BOTHELL CHIROPRACTIC & WELLNESS, PLLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2009

Clinic/Center (License #3632 in WA)

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Initial NPI Registration & Enumeration May 12, 2008

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1780851477
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: May 12, 2008
Last Update: August 24, 2009

Mailing Address

Po Box 1286

Bothell, WA 980411286

Phone: 4254851413

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.