NPI | 1124476106 |
---|---|
Former Name | ALYSSA KATHLEEN PERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: AK 101442) |
Additional Taxonomies | 174H00000X Health Educator (Licence: AK 101442) |
Enumeration Date | 2016-05-31 |
Last Update Date | 2019-08-07 |