| NPI | 1497187611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY SUE RESSEAU Owner/Provider 253-370-4223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00009118) |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2017-01-12 |