| NPI | 1235590522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW GOLDEN LARSON President/ Owner 425-822-4326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00033791) |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2016-03-14 |