| NPI | 1083336028 |
|---|---|
| Former Name | MARCIA MARIE CRIPE FOX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CA 88409) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX 113904) |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2022-09-15 |