NPI | 1134760499 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: CO 0003492) |
Additional Taxonomies | 225700000X Massage Therapist |
225700000X Massage Therapist | |
Enumeration Date | 2019-10-07 |
Last Update Date | 2019-10-07 |