NPI | 1295855567 |
---|---|
Entity Type | Organization |
Authorized Contact | LORRI ANN NICHOLS Owner 253-927-0660 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00001902) |
Additional Taxonomies | 225700000X Massage Therapist |
Enumeration Date | 2007-03-30 |
Last Update Date | 2011-09-28 |