Organization · Type 2 NPI

Lake Grove Wellness

Massage Therapist · Lake Oswego, OR

NPI number 1053723536 Active

About NPI 1053723536

Lake Grove Wellness's National Provider Identifier is 1053723536, issued on Jun 2, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lake Oswego, OR. The record was last updated on Jun 2, 2014.