| NPI | 1285878645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS JARA Owner 206-235-3396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60058091) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00024718) |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2009-04-28 |