| NPI | 1831311521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA M. GLASS Office Manager 509-484-2044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA 25202CH2829) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-10-11 |