| NPI | 1144576950 |
|---|---|
| Former Legal Business Name | MEDICAL MASSAGE GROUP |
| Entity Type | Organization |
| Authorized Contact | TANJA JURICIC Owner/ Licenced Massage Therapist 360-527-9566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA 602207584) |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2012-07-30 |