| NPI | 1255869673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TED WEDELL Owner 425-822-4326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2022-07-21 |