| NPI | 1386074755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE PORTER Office Manager 360-750-7220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60416966) |
| Enumeration Date | 2013-11-20 |
| Last Update Date | 2013-11-20 |