| 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 |