| NPI | 1063666444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL WILLIAM MARTIN Owner 253-383-0577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00034780) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA CH00034834) |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2020-01-14 |