| NPI | 1205188539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLER RYAN COPENHAVER Chiropractor 206-383-9164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: WA CH60304364) |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2012-10-15 |