| NPI | 1942076807 |
|---|---|
| Doing Business As | LIBERTY CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | BEAU WILLIAM SPARKS Chiropractor 360-980-0614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2023-11-30 |
| Last Update Date | 2023-12-07 |