| NPI | 1124725825 |
|---|---|
| Former Name | DEBORAH DIANE SEELEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: ID MAS-4463) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: KY 4344) |
| 225700000X Massage Therapist (Licence: CO 23763) | |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2023-02-13 |