| NPI | 1518368091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN M DRUM Massage Therapist 757-652-1509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: WA MA 60293062) |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2014-09-15 |