NPI | 1174760201 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT WARREN WAKELAND President 253-566-8800 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00002197) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: WA CH00002249) |
Enumeration Date | 2009-01-12 |
Last Update Date | 2012-08-02 |