| NPI | 1386861003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARROL I WATSON Patient Accounts 509-663-0055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA 602087812) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2008-04-10 |