| NPI | 1689969966 |
|---|---|
| Doing Business As | ERTM EAGLE RIVER THERAPEUTIC MASSAGE |
| Entity Type | Organization |
| Authorized Contact | JEANETTE STACK Owner/Member 907-351-7191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00014238) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2011-06-14 |