| NPI | 1952765265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL MELTING TALLOW Owner 509-954-7354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA 225700000X) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2016-04-12 |