| NPI | 1518573179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERICA LENNARTZ MORTIMER Licensed Massage Therapist 509-961-8314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2020-09-18 |