| NPI | 1285244079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK THOMPSON Owner 425-207-3476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2024-06-12 |