| 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 |