| NPI | 1942855499 |
|---|---|
| Former Legal Business Name | REDMOND BACK & NECK PAIN CLINIC |
| Entity Type | Organization |
| Authorized Contact | SHARON T WAGENER DEWOLF Provider/Owner 425-885-9950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2020-12-02 |