| NPI | 1144770645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY OLDENDORF Massage Therapist 518-928-4098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 16138) |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2016-10-07 |