| NPI | 1972736692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN CHANG Officer 425-822-6888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA ma00024633) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA ma00021512) |
| 225700000X Massage Therapist (Licence: WA ma60069632) | |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2009-08-27 |