| NPI | 1013656677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY FORESTER Lmt 971-266-3796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2025-01-21 |