| NPI | 1679905566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WM HOUK Owner 208-664-9134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MAS-1390) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA 60299851) |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2018-06-20 |