Theodore Clark, D.C

NPI 1861705964 · on the registry since 2010 · sole proprietor

Practice

Address: 17422 108th Ave Se
#101
Renton, WA 98055
Phone: (425) 255-0427
Fax: (425) 255-1066
Organisation at this address: Clark Chiropractic Inc
Clark Chiropractic Clinic
Craig D. Dahl D.C. Inc. Ps
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 111N00000X
111N00000X
Licence states on file: WA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-07-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington