| NPI | 1114429768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALIK VANTERPOOL CEO 202-302-4081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 133N00000X Nutritionist |
| 225800000X Recreation Therapist | |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2018-02-28 |