| NPI | 1861769366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE KRISTEN DANIELSON Massage Therapist 360-907-5144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: WA MA00024065) |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2011-11-28 |