| NPI | 1295039568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN WEEDA Owner 541-482-2021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2010-12-31 |
| Last Update Date | 2018-08-23 |