| NPI | 1093081424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS BASILE Owner / Practitioner 360-550-8545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00003266) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2023-04-25 |