| NPI | 1043556236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUMMER ASHLYN PENA-OLSON Massage Therapist 715-382-3392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WI 10834-146) |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2012-12-17 |