| NPI | 1568701811 |
|---|---|
| Doing Business As | ON BROADWAY |
| Entity Type | Organization |
| Authorized Contact | BONNIE PETERSON Owner 509-413-2790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60112430) |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2013-02-06 |