| NPI | 1578933404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMAS ENRIQUE DELGADO Massage Therapist 360-328-0759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: WA MA 60513250) |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2015-10-05 |