NPI | 1154081313 |
---|---|
Other Name | ASHLEY MARIE NORDBYE-BOHMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: SD MT10508) |
Additional Taxonomies | 225700000X Massage Therapist |
Enumeration Date | 2021-12-29 |
Last Update Date | 2021-12-29 |