| NPI | 1740641810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLEE BROOKE BALLINGHAM-BILES Owner 509-424-3796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00022936) |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2016-03-16 |