NPI | 1053671511 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES WILLIAM TUCKER Owner/President 509-926-7789 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH3411) |
Enumeration Date | 2012-05-17 |
Last Update Date | 2017-09-07 |