| NPI | 1538170097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLER JAMES ALLISON Owner 360-793-0904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00033928) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00012526) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2018-07-12 |