NPI | 1124320015 |
---|---|
Doing Business As | REVIVE MASSAGE THERAPY & SPORTS WELLNESS |
Entity Type | Organization |
Authorized Contact | BHASKAR BHATNAGAR Owner 503-381-1404 |
Organization Subpart ? | No |
Primary Taxonomy | 225700000X Massage Therapist |
Enumeration Date | 2010-11-26 |
Last Update Date | 2017-04-06 |