| NPI | 1922491315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYCIA C REEVES Sole Proprietor 503-969-7430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 21235) |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2015-03-10 |