| NPI | 1689032096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY RAY IMPECOVEN Massage Therapist 509-218-9520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60446352) |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2016-02-02 |