| NPI | 1295900421 |
|---|---|
| Doing Business As | DR.IBOLIT |
| Entity Type | Organization |
| Authorized Contact | ALDONA L PATTERSON Billing 360-737-9665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00034303) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA CH00033960) |
| 225100000X Physical Therapist | |
| 225700000X Massage Therapist (Licence: WA MA00020024) | |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2021-06-08 |