Search › Washington › 111N00000X
Jack Kantola, D.C
NPI 1922321330 · on the registry since 2010 · sole proprietor
Practice
- Address
- 12815 Canyon Rd E Ste K
Puyallup, WA 98373 - Phone
- (253) 539-9411
- Fax
- (253) 883-2747
- Organisation at this address
- Phoenixbody Works
Millennium Medical Supply
Genesis Chiropractic Rehabilitation Nw IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
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
- 2010-03-12
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