| NPI | 1366591331 |
|---|---|
| Doing Business As | THE BACK DOCTOR |
| Entity Type | Organization |
| Authorized Contact | THOMAS REARDON P.S. 425-277-4098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00002695) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2007-10-22 |