| NPI | 1104961093 |
|---|---|
| Doing Business As | HERITAGE CHIROPRACTIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | KENNETH RAY STILLWELL Owner Provider 253-475-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2008-01-15 |