| NPI | 1013762558 |
|---|---|
| Former Legal Business Name | THRIVE GERIATRIC MASSAGE |
| Entity Type | Organization |
| Authorized Contact | CECILIA LEA BAGWELL Owner 470-660-5154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Enumeration Date | 2024-04-18 |
| Last Update Date | 2024-04-18 |