| NPI | 1548533490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICKY J JOHNSTON Chiropractor 509-529-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: WA 2196) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2012-05-09 |