| NPI | 1144439522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TN MT0000003749) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TN 0000000152) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2023-05-26 |