| NPI | 1578307054 |
|---|---|
| Doing Business As | SQUAK MOUNTAIN CHIROPRACTIC & REHAB |
| Entity Type | Organization |
| Authorized Contact | JOEL SOUTHWELL Owner 425-444-4833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2024-06-20 |
| Last Update Date | 2024-06-20 |