| NPI | 1447590120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSAY JUSTICE Member 509-222-1132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH60314301) |
| Additional Taxonomies | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: WA CH60314300) |
| Enumeration Date | 2013-02-18 |
| Last Update Date | 2018-09-11 |