| NPI | 1427698299 |
|---|---|
| Doing Business As | LAKE WASHINGTON WELLNESS |
| Entity Type | Organization |
| Authorized Contact | JON GOODMAN Managing Member 520-275-9005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2020-01-09 |