IndividualActive
Nolan Deatherage, DC
NPI 1144467119 · Chiropractor · Auburn, WA
Provider details
- NPI number
- 1144467119
- Entity type
- Individual
- Primary specialty
- ChiropractorChiropractic Providers
- Credential
- DC
- Sex
- Male
- Sole proprietor
- Yes
- License
- CH60040685 (WA)
Specialties & taxonomies
Chiropractic Providers
Practice location
1101 Supermall Way Ste 1269
Auburn, WA 98001-6535
Phone: (253) 269-0261
Approximate (ZIP-level) locationGet directions
Mailing address
1101 Supermall Way Ste 1269
Auburn, WA 98001-6535
Registry dates
- Enumerated
- 2009-01-13
- Last updated
- 2009-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.