| NPI | 1174654495 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | AARON STOWELL Clinic Director 253-857-6500  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 174400000X Specialist (Licence: WA MA00016660)  | 
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA CH00034269)  | 
| Enumeration Date | 2007-03-08 | 
| Last Update Date | 2025-09-11 |