| NPI | 1851793467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMON KOONER President 253-473-3733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2015-10-30 |