| NPI | 1134578230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA BROWN Massage Therapist 736-795-9162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: MO 2009027974) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2016-06-09 |