| NPI | 1164101275 |
|---|---|
| Doing Business As | MICHAEL BANKS |
| Doing Business As | LAE MASSAGE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL ALLEN BANKS Owner 629-215-0345 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2023-07-18 |