| NPI | 1174388250 | 
|---|---|
| Doing Business As | ALTA MASSAGE THERAPY | 
| Entity Type | Organization | 
| Authorized Contact | ALTA ULRICH Owner 503-501-6312 | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 225700000X Massage Therapist | 
| Enumeration Date | 2024-02-16 | 
| Last Update Date | 2024-03-05 |