| NPI | 1811139819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM DOUGLAS BORG Dc / Owner 253-661-8161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00002484) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA CH00034286) |
| 225700000X Massage Therapist (Licence: WA MA00017704) | |
| 225700000X Massage Therapist (Licence: WA 00019263) | |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2009-04-06 |