I was happy to see the person doing my pedicure at InSpa in Bellevue Square, open a sealed package for the tools she was going to use on my feet. I can't comment on how well they sterilize the tools, but the fact that they were removed from a seemingly sealed package gave me some comfort. Also, I can't comment on how well they clean the water basins you stick your feet in, I do not know how well, or if they sanitize those between customers.
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