| NPI | 1861897589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY THERESA EBERT Licensed Massage Therapist 503-809-1085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 20918) |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2014-11-04 |