| NPI | 1497816714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY MICHAEL MCCONNELL Chiropractor 360-923-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00003035) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-10-24 |