| NPI | 1164707832 |
|---|---|
| Former Legal Business Name | MIRACLE MASSAGE AND REHAB CORP |
| Entity Type | Organization |
| Authorized Contact | ANYELEY MESA Owner 305-887-8701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173C00000X Reflexologist (Licence: FL MA 61548) |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2011-10-13 |