| NPI | 1205028826 |
|---|---|
| Former Legal Business Name | PACIFIC VILLAGE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | LILLY HANSEN Office Manager 425-614-4000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00034325) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00013538) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2009-05-06 |