| NPI | 1760879647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN MARY OVERBY Massage Therapist 503-680-9457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 5303) |
| Enumeration Date | 2015-04-19 |
| Last Update Date | 2015-04-20 |