| NPI | 1629123237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRILYNN NICKLIN-GRISWOLD Billing Manager 360-434-3009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00034243) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |