| NPI | 1154866572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA M PADDOCK Massage Practitioner 360-683-3490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: WA ma00005051) |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2016-12-20 |