| NPI | 1396252177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA L. BURTRAW Licensed Massage Therapist 541-349-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OR 5004) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2018-01-03 |