| NPI | 1609243740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANLEE STEPHENS Massage Practitioner 425-314-6781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60548922) |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2015-08-25 |