NPI | 1295118974 |
---|---|
Entity Type | Organization |
Authorized Contact | ALISON NISSA SANDERS Owner/Provider 541-591-1618 |
Organization Subpart ? | No |
Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 16300) |
Enumeration Date | 2015-06-30 |
Last Update Date | 2015-06-30 |