| NPI | 1538323373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISSA A GRANNIS Ownder, D.C. 253-588-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2012-07-16 |