| NPI | 1932326683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN DOUGLAS SHEARER Chiropractor (Managing Memeber) 360-944-4437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00034738) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA CH00034737) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2012-10-22 |