| NPI | 1265827240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY WHITTINGHAM Office Manager 971-806-9595 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA 60239257) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2016-11-12 |