| NPI | 1053421917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER E NELSON Chiropractic Assistant 509-489-1544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00001649) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |