| NPI | 1669884136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUN THOMAS COOPER Owner/Provider 541-281-9530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 5485) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2014-06-02 |