| NPI | 1891175899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY DAHL Billing Manager 425-361-1839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60541859) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2015-06-04 |