NPI | 1972723476 |
---|---|
Entity Type | Organization |
Authorized Contact | GREG SUMMERS Owner 253-838-1441 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: WA MA00005525) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: WA ch00034210) |
174400000X Specialist (Licence: WA ma00007085) | |
Enumeration Date | 2007-04-26 |
Last Update Date | 2025-09-11 |