| NPI | 1902115371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY MICHELLE WILSON Owner/Lmp 360-736-2853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA00013686) |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2010-10-01 |