| NPI | 1750666392 |
|---|---|
| Doing Business As | FREMONT CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL D BOURBONNAIS Owner 206-634-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00003244) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA Ch60197011) |
| 111N00000X Chiropractor (Licence: WA CH00034044) | |
| 172M00000X Mechanotherapist (Licence: WA ma00019319) | |
| 172M00000X Mechanotherapist (Licence: WA ma60159887) | |
| 172M00000X Mechanotherapist (Licence: WA ma60102515) | |
| 172M00000X Mechanotherapist (Licence: WA ma00023264) | |
| 172M00000X Mechanotherapist (Licence: WA ma00012837) | |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2012-05-21 |