| NPI | 1093591778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARIAH BUCK HALCUMB Owner/Dc 360-836-8403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2023-09-07 |