| NPI | 1659752251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW C JUSTICE Licensed Massage Therapist 503-766-3683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 21181) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2017-04-27 |