| NPI | 1144942392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN MARTIN Owner 206-390-6088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 111N00000X Chiropractor |
| 225700000X Massage Therapist | |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2022-09-26 |