| NPI | 1679956767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONID M POTRYASOV Owner 360-931-8054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60290799) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |