| NPI | 1851583348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLY HANSEN Office Manager 425-614-4000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00034182) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00021456) |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2008-07-11 |