| NPI | 1144655192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM RAYMOND VANWYE Officer 614-850-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OH 10408) |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2013-09-10 |