| NPI | 1306429725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW GOLDEN LARSON President 425-898-3055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2021-06-28 |