NPI | 1689198202 |
---|---|
Entity Type | Organization |
Authorized Contact | ZACHARY ZUGSCHWERDT Owner 206-858-6667 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: WA CH60271312) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60293770) |
Enumeration Date | 2017-07-26 |
Last Update Date | 2022-07-21 |