NPI | 1326316928 |
---|---|
Doing Business As | SPORTS MEDICINE NORTHWEST |
Entity Type | Organization |
Authorized Contact | ALICIA XENIA POND Owner 206-795-6462 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH60076566) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: AC60091482) |
225700000X Massage Therapist | |
Enumeration Date | 2011-12-09 |
Last Update Date | 2019-01-25 |