| NPI | 1275855017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY ALAN WILTON Owner/Provider 253-833-3990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00034869) |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2023-07-18 |