| NPI | 1487287223 |
|---|---|
| Former Legal Business Name | UNIVERSITY PLACE MASSAGE |
| Entity Type | Organization |
| Authorized Contact | JOELLE DEREMIAH Office Manager 253-330-9461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-02-20 |