| NPI | 1083899066 |
|---|---|
| Doing Business As | REBOUND |
| Entity Type | Organization |
| Authorized Contact | GARY PATRICK BLACKBURN Owner 253-854-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: WA CH00034702) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2008-01-08 |