| NPI | 1679952543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKAYLA SUE LONG Massage Therapist 425-330-4462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA MA60560891) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-05-26 |