NPI | 1134653439 |
---|---|
Entity Type | Organization |
Authorized Contact | JOYCE KELLEY Massage Therapist 208-664-5225 |
Organization Subpart ? | No |
Primary Taxonomy | 225700000X Massage Therapist (Licence: ID MAS-1087) |
Enumeration Date | 2017-04-13 |
Last Update Date | 2022-02-10 |