| NPI | 1154794154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREYT GEFFKEN Owner 206-321-6033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 18694) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: WA MA00010746) |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2015-11-12 |