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 |