| NPI | 1740342054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEOFF M LECOVIN Officer 425-646-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA 2793) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA 307) |
| 175F00000X Naturopath (Licence: WA 778) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-08-22 |