NPI | 1639440084 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTOPHER WILLIAM ROYAL President 360-943-8250 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH60176120) |
Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: WA CH1277) |
Enumeration Date | 2012-01-17 |
Last Update Date | 2015-05-12 |