| NPI | 1962860650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN ASHLEY STANLEY Lmp 206-919-1996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60619703) |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |