NPI | 1336391861 |
---|---|
Other Name | MICAH FAY |
Entity Type | Organization |
Authorized Contact | MATTHEW MICAH HILLER Founder 541-955-4695 |
Organization Subpart ? | No |
Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 7648) |
Enumeration Date | 2008-10-15 |
Last Update Date | 2008-10-15 |