| NPI | 1851572564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARIS J YATES Billing 425-259-5121 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: WA MD00032822) |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2007-11-21 |