| NPI | 1215229067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL LEE KOLBO Owner 253-853-8853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175F00000X Naturopath |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2015-04-08 |