NPI | 1174845887 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: SC 6610) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: NC 9387) |
Enumeration Date | 2010-02-22 |
Last Update Date | 2010-02-22 |