| NPI | 1013376037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH RODNEY WASHINGTON Lmt 443-913-2074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MD M05380) |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2016-02-18 |