Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Pro-Form Chiropractic and Sports Injury, PLLC

Organization Chiropractor · NPI 1871256180

Pro-Form Chiropractic and Sports Injury, PLLC is a Chiropractor in Seattle, Washington. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4041 Roosevelt Way NE Ste 101
Seattle, WA 98105-6579
Phone: (203) 312-3894
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X

Record details

NPI number1871256180
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicholas Petrini — Chiropractor/Owner · (206) 705-3088
NPI enumeratedOctober 14, 2021
Last updated in NPPESJanuary 8, 2025
Certification dateJanuary 8, 2025
Mailing address5534 84th Dr Ne, Marysville, WA 98270-8509

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