| NPI | 1700134137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN R WALL Owner 360-692-5350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: WA CH60302851) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2012-08-15 |