| NPI | 1013947787 |
|---|---|
| Doing Business As | MINDY'S MASSAGE |
| Entity Type | Organization |
| Authorized Contact | MINDY SUE WIEGEL Owner 360-582-9977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00009684) |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-08-22 |