| NPI | 1285045021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERRY H GUYTON President 360-944-0050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA 60170179) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2014-05-14 |