| NPI | 1962746800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA LYN WILSON Owner/Provider 541-331-6553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 17299) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2014-01-01 |