NPI | 1073715306 |
---|---|
Doing Business As | LIFESTYLE CHIROPRACTIC |
Entity Type | Organization |
Authorized Contact | BARRY GJERDRUM Owner 206-517-5433 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00003329) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00022012) |
Enumeration Date | 2007-05-31 |
Last Update Date | 2014-04-17 |