| NPI | 1497914170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH HAROLD KIESWETTER Massage Practitioner 425-378-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation (Licence: WA MA00025081) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2008-06-06 |