NPI | 1073710505 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON HENKE Owner Chiropractor 253-653-1858 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00034354) |
Enumeration Date | 2007-06-28 |
Last Update Date | 2009-04-29 |