| NPI | 1528475977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY VOPALENSKY Business Manager 509-943-4919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2014-07-17 |