| NPI | 1619208188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN KAVANAUGH Owner 206-937-8866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA Ch34316) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA20985) |
| 225700000X Massage Therapist | |
| Enumeration Date | 2010-01-23 |
| Last Update Date | 2010-01-23 |