| NPI | 1497017396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENNA MACKINNON Licensed Massage Therapist 541-525-6141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: OR 5231) |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2012-06-15 |