| NPI | 1487426110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARINA BALLARD Executive Administrative Assistant 206-824-8464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2023-10-25 |
| Last Update Date | 2023-10-25 |