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

Provasoli Chiropractic Inc

Organization Clinic/Center · NPI 1366940645

Provasoli Chiropractic Inc is a Clinic/Center in Olympia, Washington. Licensed in Washington. Registered with an NPI since 2018.

Licensed in
WA
In the registry since
2018
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

1018 7th Ave SE
Olympia, WA 98501-1512
Phone: (360) 459-8114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 60741817 (WA)

Record details

NPI number1366940645
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Den Hartog — Owner/Chiropractor · (515) 822-0405
Other names Provasoli Chiropractic
NPI enumeratedFebruary 1, 2018
Last updated in NPPESFebruary 1, 2018
Mailing address1018 7th Ave Se, Olympia, WA 98501-1512

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