Fourth Ave. Chiropractic & Massage
Fourth Ave. is already winning the room. #1 in the local pack on "best chiropractor spokane," 715 reviews at 4.9 — that's a strong foundation. But the organic #1 spot belongs to spokanechiro.com. One position back. The audit score of 71/100 ranks 5th among the six Spokane chiropractors audited — meaning competitors are closing structural gaps that Fourth Ave. hasn't touched yet. The biggest one is visible immediately: all 12 audited images are missing alt text. Every one of them. Google can't read an image without it, so those files contribute nothing to the relevance signals the site is trying to build. The localization side is solid — title tags, meta, and contact details all anchor the site to Spokane at a 95/100 signal score. That's what's holding the local pack position. The report below shows exactly which pages carry the image issues, where the remaining structural gaps sit, and which fixes move the needle toward organic #1.
1Where You Actually Rank in Spokane
3 cached queriesTop-3 local pack on this query — that's where the click-through actually lives. Defend it: fourthavechiropractic.com's GBP and on-site signals need to stay clean so Google has no reason to swap you out.
What the Top 3 Do That Fourth Ave. Chiropractic & Massage Doesn't
Organic top 3 · “best chiropractor spokane”Audited values come from our Spokane dataset of > 40 local sites. Where a competitor is a national directory (Yelp, Reddit, etc.) we mark it as such — the signal is that those showed up in your local SERP at all, which is its own diagnosis.
Your Full Spokane Keyword Footprint
Beyond the three queries above — see where fourthavechiropractic.comranks across neighborhood and modifier long-tail (“south hill,” “affordable,” “near me,” and more). One free deep profile, yours to keep.
2Your Spokane Signal
Local-anchor auditStrong Spokane signal — title, meta, and contact details all anchor the site locally.
3How the Audit Scores It
Composite — supporting signal4Diagnosis & Prescription
0 critical · 1 material · 1 polishSign in to see the specific fix for each finding.
The diagnosis below is free. The actionable fix for each one — and an emailed copy of the full report — unlock with a single Google sign-in. We don't spam, sell, or share. One human reads replies.
These fixes are doable in-house — but if you'd rather hand them off, August SEO works with Spokane businesses on exactly this. No pitch, no pressure. Just say the word.
5Among the Spokane Sites We've Audited
4 above youA separate lens from the SERP positioning above. This ranks chiropractor by composite audit score, across the 7 sites we've measured in this vertical.
6Raw Signals
Supporting measurements7Want the Report by Email Too?
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The diagnosis below is free. The actionable fix for each one — and an emailed copy of the full report — unlock with a single Google sign-in. We don't spam, sell, or share. One human reads replies.