| NPI | 1750809513 |
|---|---|
| Doing Business As | 620 CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | MICAH WYNN PITTMAN Owner 425-457-1980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 13544) |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2022-07-21 |