| NPI | 1154784411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MOBLEY Owner 425-736-4309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: WA CH60622317) |
| Enumeration Date | 2016-04-03 |
| Last Update Date | 2016-04-03 |