| NPI | 1659919249 |
|---|---|
| Doing Business As | RIVERSIDE CHIROPRACTIC CENTER |
| Entity Type | Organization |
| Authorized Contact | JORDAN SCOTT THAANUM Chiropractor 253-820-7746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225700000X Massage Therapist |
| 111NR0200X Chiropractor, Radiology | |
| 111NP0017X Chiropractor, Pediatric Chiropractor | |
| Enumeration Date | 2019-12-14 |
| Last Update Date | 2019-12-14 |