| NPI | 1205207909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLER BRADLEY Insurance Billing 541-683-3377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 21260) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-08 |