Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mkg Full Moon Inc

Organization Chiropractor · NPI 1710119102

Mkg Full Moon Inc is a Chiropractor in Seattle, Washington. Licensed in Washington. Registered with an NPI since 2009.

Licensed in
WA
In the registry since
2009
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

2611 NE 125th St Ste 240
Seattle, WA 98125-4373
Phone: (206) 708-7172
Fax: (206) 913-2568
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CH00003354 (WA)

Record details

NPI number1710119102
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Buquicchio — Ceo · (206) 708-7172
Other names Core Chiropractic & Wellness
NPI enumeratedAugust 18, 2009
Last updated in NPPESNovember 9, 2011
Mailing address2611 Ne 125th St, Suite 240, Seattle, WA 98125-4373

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