| NPI | 1265738876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MARIE BRADBURY President 360-714-1185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00003203) |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2011-03-29 |