| NPI | 1700691805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN VANDENBOSCH Manager 206-519-0135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 133N00000X Nutritionist | |
| 225100000X Physical Therapist | |
| 225700000X Massage Therapist | |
| Enumeration Date | 2025-02-07 |
| Last Update Date | 2025-02-07 |