| NPI | 1164714887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN J MATHESON Chiropractor/Owner 509-783-4994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH60176125) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2011-05-12 |