DR. Jack Orville Kantola, D.C.

NPI #1922321330 in Puyallup, Washington

Provider Information

NPI Number
1922321330
Entity Type
Individual
Name
DR. Jack Orville Kantola, D.C.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Chiropractor
Credential
D.C.
Enumeration Date
Mar 12, 2010
Last Updated
Mar 12, 2010

Practice Location

Address
12815 CANYON RD E STE K
ZIP Code
98373-5104
Phone
(253) 539-9411

Specialties & Taxonomy Codes

Specialty
Chiropractor

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