NPI | 1538468996 |
---|---|
Former Legal Business Name | MEDICINE RIVER CENTER |
Entity Type | Organization |
Authorized Contact | KATHERINE A HUFF Owner 253-212-9956 |
Organization Subpart ? | No |
Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60077010) |
Enumeration Date | 2011-03-23 |
Last Update Date | 2014-12-30 |