| NPI | 1992105217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY D REID President 360-688-8277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WA MA60497332) |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2014-08-25 |