| NPI | 1205764255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLEY SILON Member 971-219-3146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2026-05-11 |
| Last Update Date | 2026-07-17 |