| NPI | 1336209758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA CAROLYN LALLY Owner 360-697-6547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: WA OP00001442) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2013-01-04 |