| NPI | 1518295831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE THOMAS BLEVINS President 360-426-6325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00034351) |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2009-11-24 |