| NPI | 1154195113 |
|---|---|
| Doing Business As | KATIE TALLENT MAXWELL |
| Entity Type | Organization |
| Authorized Contact | KATIE TALLENT MAXWELL Owner 907-953-7874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Enumeration Date | 2023-11-09 |
| Last Update Date | 2023-11-09 |