| NPI | 1659588184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANETTE COSTELLO President 360-697-3737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00010900) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |