| NPI | 1770900847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC DEROCHE President 425-590-9208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: WA ch00034592) |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2016-11-17 |