| NPI | 1295052454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS W HOLT President 360-874-0232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH 00003171) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00015920) |
| 225700000X Massage Therapist (Licence: WA MA 60074093) | |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2010-08-23 |