| NPI | 1841672433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN SPAULDING Part Owner 253-853-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: WA CH60066715) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: WA CH60071160) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2024-11-13 |