| NPI | 1740561752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TENAYA VIRGIN Owner/Manager 360-604-1226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: WA MA00008425) |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2011-09-02 |