| NPI | 1225320096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN SCOTT WIEBE Owner/Chiropractor 206-932-6605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH3113) |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2011-05-11 |