| NPI | 1114557782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH SHAH Owner 312-301-7187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2020-01-22 |