| NPI | 1396245635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA SELBY Billing Associate 253-474-0677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00002175) |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2018-02-13 |