Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Genesis Chiropractic Rehabilitation NW Inc

Organization Chiropractor · NPI 1184897225

Genesis Chiropractic Rehabilitation NW Inc provides Chiropractor services in Puyallup, Washington. Licensed in Washington. Registered with an NPI since 2008.

Licensed in
WA
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12815 Canyon Rd E Ste K
Puyallup, WA 98373-5104
Phone: (253) 256-4769
Fax: (253) 268-2057
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CH00002989 (WA)

Record details

NPI number1184897225
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marc Hines — Owner · (253) 256-4769
NPI enumeratedApril 9, 2008
Last updated in NPPESMay 21, 2020
Certification dateMay 21, 2020
Mailing address12815 Canyon Rd E, Suite K, Puyallup, WA 98373-5104

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