| NPI | 1841413366 |
|---|---|
| Doing Business As | MOON LODGE |
| Entity Type | Organization |
| Authorized Contact | PATRICIA A MULLIN - BAIRD CEO & Lmp 425-392-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |