| NPI | 1598061095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE LOUISE CROW Registered Agent 509-953-7392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: WA MA 60045863) |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2011-01-31 |