| NPI | 1376871657 |
|---|---|
| Doing Business As | GRASSROOTS WELLNESS SPA AND FITNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | FELISHA D PEDERSON Billing Manager 509-315-5561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Enumeration Date | 2009-11-25 |
| Last Update Date | 2009-11-25 |