| NPI | 1861619322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A BAKER Owner 509-924-7311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: WA CH00001832) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |