| NPI | 1508287152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET THERESA FRAGALE Massage Therapist 503-890-5683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 10623) |
| Enumeration Date | 2013-12-30 |
| Last Update Date | 2016-07-27 |