| NPI | 1083998850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY LOU RICHERT Massage Therapist 360-903-8742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WA MA00008409) |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2011-09-28 |