| NPI | 1801057526 |
|---|---|
| Doing Business As | HEALTHSOURCE OF PUYALLUP |
| Entity Type | Organization |
| Authorized Contact | MICHAEL L CHURCH President 253-841-4425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: WA CH3323) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2014-11-06 |