| NPI | 1558607127 |
|---|---|
| Former Legal Business Name | BALLARD BACK PAIN RELIEF CLINIC |
| Entity Type | Organization |
| Authorized Contact | DEE HOATS Owner/Manager 206-784-3494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH0034506) |
| Enumeration Date | 2012-12-29 |
| Last Update Date | 2014-05-06 |