| NPI | 1588112676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY RYAN VAN DYKE Owner/Lmt 971-267-5227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 22338) |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2016-09-16 |