NPI | 1538436423 |
---|---|
Doing Business As | DISK AND SPINE NORTHWEST |
Entity Type | Organization |
Authorized Contact | TRAVIS DERRILL BROUGHTON Owner/President 509-220-0872 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation |
Enumeration Date | 2011-11-21 |
Last Update Date | 2014-05-09 |