| NPI | 1114392685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB D PERKINS President 253-886-1175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: WA CH60023794) |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2016-05-18 |