| NPI | 1740635713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY N REAGAN Licensed Massage Therapist 971-570-1495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: OR 17822) |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2016-04-27 |