| NPI | 1013615921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK MAMUSZKA Managing Member 802-291-3236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2023-06-05 |