| NPI | 1134465628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MENDHY C JOHANSEN Licensed Massage Practioner 253-381-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00020495) |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2013-01-02 |