NPI | 1043575301 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: AZ MT-05220) |
Additional Taxonomies | 173C00000X Reflexologist (Licence: AZ MT-05220) |
Enumeration Date | 2012-07-11 |
Last Update Date | 2012-07-11 |