| NPI | 1992058978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLI JEAN TAUBERT Owner/Massage Practitioner 360-600-9247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: WA MA60126486) |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2015-11-23 |