| NPI | 1144651571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON TALLERICO Owner/Therapist 417-887-1350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MO 2007004680) |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2013-12-11 |