| NPI | 1619346889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BOHRNSEN Owner 509-828-0538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: WA CH60485899) |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2015-09-17 |