| NPI | 1063124196 |
|---|---|
| Doing Business As | MASSAGE GROTTO SF |
| Entity Type | Organization |
| Authorized Contact | JUSTIN AVERY Owner; Licensed Massage Therapist 808-937-4342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Enumeration Date | 2022-12-20 |
| Last Update Date | 2022-12-20 |