| NPI | 1366988495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCEY M IVORY Owner/ Massage Therapist 720-360-9451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: WA MA60699064) |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2017-01-12 |