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CLARK CHIROPRACTIC INC
NPI 1700904778
Chiropractor in Renton, WA

Active since March 27, 2007
17422 108TH AVE SE, 101, RENTON, WA 98055(425) 255-0427(425) 255-1066 Get Directions Write a Review

NPPES record last updated: May 13, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clark Chiropractic Inc NPPES

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

CLARK CHIROPRACTIC INC (NPI 1700904778) is a healthcare organization registered as a chiropractor in Renton, Washington and active in the NPI registry since March 2007. The organization lists Theodore Jeffrey Clark, Owner Practitioner, as its authorized official.

NPPES Registry Identity

NPI1700904778
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCLARK CHIROPRACTIC INC
Location Address17422 108TH AVE SE, 101Renton, WA 98055-5400
Mailing Address17422 108th Ave Se #101Renton, WA 98055-5400 · (425) 255-0427 · Fax (425) 255-1066
Phone(425) 255-0427
Fax(425) 255-1066
Organization SubpartNo
Authorized OfficialTheodore Jeffrey ClarkOwner Practitioner · (425) 255-0427
Enumeration DateMarch 27, 2007
Last NPPES UpdateMay 13, 2011
✔ NPI 1700904778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WA · 2219
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.
17422 108TH AVE SE, Renton, WA 98055
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Other Identifiers 2

Medicare UPINU02269
Medicare ID-Type Unspecified000109303

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS ELLIE ELIZABETH FERKINGSTAD LMT
Massage Therapist
17422 108TH AVE SE
RENTON, WA 98055
King County (425) 255-0427
CLARK CHIROPRACTIC CLINIC
Chiropractor
17422 108TH AVE SE
RENTON, WA 98055
King County (425) 255-0427
MR. LANCE BUNNING LMT
Physical Medicine & Rehabilitation
17422 108TH AVE SE
RENTON, WA 98055
King County (425) 255-0427
THEODORE JEFFREY CLARK D.C.
Chiropractor
17422 108TH AVE SE, #101
RENTON, WA 98055
King County (425) 255-0427

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clark Chiropractic Inc's NPI number?

The NPI number for Clark Chiropractic Inc is 1700904778. It was assigned to this organization in the NPPES registry on March 27, 2007.

Where is Clark Chiropractic Inc located?

Clark Chiropractic Inc is located at 17422 108th Ave SE 101, Renton, WA 98055. The listed phone number is (425) 255-0427.

What is Clark Chiropractic Inc's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Clark Chiropractic Inc was last updated on May 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.