| NPI | 1154743912 |
|---|---|
| Doing Business As | MYOFASCIAL RELEASE CENTER |
| Entity Type | Organization |
| Authorized Contact | KATRIN HURLEY MOFFETT Owner/Member 208-321-7831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ID pt632) |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2014-01-14 |