| NPI | 1649985466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE AMUNDSON Co Owner 206-409-9447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation Sports Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 171100000X Acupuncturist | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2023-01-16 |