| NPI | 1134011786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CA 99775) |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant |
| 171400000X Health & Wellness Coach | |
| 172V00000X Community Health Worker | |
| 173C00000X Reflexologist | |
| 174H00000X Health Educator | |
| Enumeration Date | 2025-07-17 |
| Last Update Date | 2025-07-17 |