| NPI | 1073620787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA MARIE NINOS Owner Lis. Massage Therapist 941-746-7974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL MA28916) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2020-08-22 |