| NPI | 1811314677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA S BLISS Owner 509-868-0938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: WA MD00042250) |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2014-06-09 |