NPI | 1376085472 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY KRISTINE HOUGER Owner 541-429-0408 |
Organization Subpart ? | No |
Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60696037) |
Enumeration Date | 2016-11-07 |
Last Update Date | 2016-11-07 |