| NPI | 1740681857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKIE WEDLOCK Biller / Office Manager 206-842-4929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00034750) |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2015-09-30 |