Provider Demographics
NPI:1871801522
Name:FUNCTIONAL HEALTH CONSULTING, LLC
Entity type:Organization
Organization Name:FUNCTIONAL HEALTH CONSULTING, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KRIS
Authorized Official - Middle Name:AKIRA
Authorized Official - Last Name:SASAKI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:206-726-9595
Mailing Address - Street 1:2014 E MADISON ST STE 100
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-2965
Mailing Address - Country:US
Mailing Address - Phone:206-726-9595
Mailing Address - Fax:206-320-1468
Practice Address - Street 1:2014 E MADISON ST STE 100
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-2965
Practice Address - Country:US
Practice Address - Phone:206-726-9595
Practice Address - Fax:206-320-1468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH 60126824111NS0005X
111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Multi-Specialty