| NPI | 1073848362 |
|---|---|
| Doing Business As | THOUSAND PETALED LOTUS LLC |
| Entity Type | Organization |
| Authorized Contact | MICHELLE A. VIESSELMAN Owner/Therapist 702-731-2128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NV NVMT-001) |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2009-10-05 |