| NPI | 1063142818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA WARDEN Owner/Massage Therapist 208-918-6136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2022-06-14 |