| NPI | 1386197663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANNA G FOWLER Chiropractor 253-833-0522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WA MA00017301) |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2016-08-03 |