| NPI | 1174873962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHELLE BREWER Billing Manager 360-668-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2017-11-07 |