| NPI | 1124548185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEESA HANKSNECHT Owner 248-420-7439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MI 7501010100) |
| Additional Taxonomies | 174H00000X Health Educator |
| 175L00000X Homeopath (Licence: MI 68663511) | |
| 2255A2300X Specialist/Technologist Athletic Trainer (Licence: MI 18966MIPFT) | |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2017-06-22 |