| NPI | 1013965888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD R. HURST Clinic Director 509-884-7163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00033760) |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2015-01-29 |