NPI | 1518280155 |
---|---|
Entity Type | Organization |
Authorized Contact | RICK D. STILL Owner 360-636-2636 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: WA 601225547) |
Enumeration Date | 2010-03-10 |
Last Update Date | 2010-03-10 |