| NPI | 1073828430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREVOR D GILBERT Owner 425-894-5682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X |
| Additional Taxonomies | 111N00000X Chiropractor |
| 111NS0005X Chiropractor, Sports Physician | |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2010-08-10 |