| NPI | 1639714850 |
|---|---|
| Doing Business As | ACTIVE CHIROPRACTIC & MASSAGE |
| Entity Type | Organization |
| Authorized Contact | BRADLEY MUNDT Clinic Director 253-473-3733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 171100000X Acupuncturist |
| 225700000X Massage Therapist | |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2019-11-12 |