| NPI | 1083454540 |
|---|---|
| Doing Business As | NEUROSPORT SPINE AND CONCUSSION CENTER |
| Entity Type | Organization |
| Authorized Contact | ALICE L GRENIER Office Manager 360-326-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician |
| Enumeration Date | 2024-05-30 |
| Last Update Date | 2024-12-26 |