| NPI | 1053742486 |
|---|---|
| Former Name | MORGAN LEE MACKENROTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60116114) |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2025-08-15 |