| NPI | 1578774360 |
|---|---|
| Doing Business As | FOURTH AVE CHIROPRACTIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | DARCY A KELLY Owner 509-624-5855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA l0705495) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2008-10-02 |