| NPI | 1437736634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER KYLE PRICE Owner 360-460-4069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 111N00000X Chiropractor |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2022-02-07 |