NPI | 1174967616 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225700000X Massage Therapist (Licence: DC MT1050) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: VA 0019007081) |
Enumeration Date | 2013-04-27 |
Last Update Date | 2013-04-27 |