| NPI | 1780448878 |
|---|---|
| Doing Business As | SOULLY AWARE |
| Entity Type | Organization |
| Authorized Contact | DANIELLE TKACIK CEO 503-740-6343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Enumeration Date | 2024-02-08 |
| Last Update Date | 2024-05-15 |