NPI | 1609173970 |
---|---|
Entity Type | Organization |
Authorized Contact | CRAIG D ANGLESEY Owner/Doctor 509-927-8881 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH 34347) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00022059) |
Enumeration Date | 2011-02-22 |
Last Update Date | 2011-02-22 |