| NPI | 1396449351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM PHANEUF Owner / Provider 360-328-1134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2025-08-11 |