NPI | 1144015231 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: FL 54031) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: FL MA54031) |
Enumeration Date | 2025-04-10 |
Last Update Date | 2025-05-07 |