| NPI | 1770927360 |
|---|---|
| Former Legal Business Name | WILLOW HAJICEK, LMP |
| Entity Type | Organization |
| Authorized Contact | WILLOW MICHELLE HAJICEK Owner 360-921-5004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA Ma000022694) |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2013-04-25 |