| NPI | 1003408949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANISHA KINGSBURY Owner 269-280-6010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 175F00000X Naturopath |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2021-02-10 |