| NPI | 1073891347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOVELLA BLINZLER President/Owner/Operator 505-325-8360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NM 4960) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 4960) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2011-08-03 |