| NPI | 1427221308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA LORRAINE SULLIVAN Chiropractor 509-946-7692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00034466) |
| Additional Taxonomies | 225700000X Massage Therapist |
| 106H00000X Marriage & Family Therapist (Licence: WA LF60424484) | |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2015-08-06 |