| NPI | 1053294306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSS MICHAEL THOELKE Sole Member 509-551-8216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2025-07-25 |
| Last Update Date | 2025-07-25 |