| NPI | 1093872004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN CANCEL Billing 360-697-3767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00006874) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00020574) |
| 225700000X Massage Therapist (Licence: WA MA00018810) | |
| 225700000X Massage Therapist (Licence: WA MA00017400) | |
| 225700000X Massage Therapist (Licence: WA MA00019751) | |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |