| NPI | 1306319702 |
|---|---|
| Doing Business As | LAVIDA MASSAGE OF FEDERAL WAY |
| Entity Type | Organization |
| Authorized Contact | KEVIN MOEN CEO 253-508-1705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2019-01-08 |