| NPI | 1548432644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK LEROY RADEZKY Owner/President 509-924-0880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00003116) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2008-04-16 |