| NPI | 1689053589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNA LEE GRAVEN Owner/Massage Therapist 541-292-6848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: OR 18121) |
| Enumeration Date | 2015-05-25 |
| Last Update Date | 2015-05-25 |