| NPI | 1508116146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL STANLEY MAXWELL Chiropractic 360-647-4438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: WA CH00002961) |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2014-06-23 |