| NPI | 1568659639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES HENRY GREENSWORD Member 509-838-7973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH0002644) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2007-10-02 |