| NPI | 1689744534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN FRANCIS TANASSE Officer, Owner 360-357-5170 |
| Organization Subpart ? | |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: WA CH00033999) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2016-05-24 |