| NPI | 1164979084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LACEY GREEN Owner/Licensed Massage Therapist 601-479-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MS 1384) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2016-09-08 |