MARK D RUTHERFORD DC - NPI 1700377892 - Chiropractor in Lakewood, WA

Q: What is the provider's specialty?

The provider's specialty is Chiropractor with taxonomy code 111N00000X.

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About Mark D Rutherford Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK D RUTHERFORD DC (NPI 1700377892) is an individual chiropractor in Lakewood, Washington, licensed in Washington (CH00002419) and active in the NPI registry since May 2018. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1700377892

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameMARK D RUTHERFORDCredential: DC

Location Address11122 GRAVELLY LAKE DR SWLakewood, WA 98499-1348

Mailing Address4916 Center St, Ste GTacoma, WA 98409-2348 · (253) 912-9653 · Fax (253) 912-9660

Phone(253) 355-8156

Fax(206) 923-7601

Sole ProprietorYes

Enumeration DateMay 23, 2018

Last NPPES UpdateJanuary 25, 20213 updates tracked since enumeration

NPPES CertifiedJanuary 25, 2021

✔ NPI 1700377892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in WA · CH00002419

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

11122 GRAVELLY LAKE DR SW, Lakewood, WA 98499

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Secondary Practice Locations 2

Location 12326 Rainier Ave S Ste BSeattle, WA 98144-5349 · Phone (206) 329-3040 · Fax (206) 329-3041

Location 215245 Intl Blvd Ste 210Seatac, WA 98188-2233 · Phone (206) 923-7600 · Fax (206) 923-7601

Other Identifiers 1

Other1922455161WA · Npi