| NPI | 1992901326 |
|---|---|
| Former Legal Business Name | ACTIVE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | WAYNE D HERSTAD Chiropractor 253-473-3733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00001262) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2020-08-22 |