| NPI | 1184013526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA D COOK Owner 803-746-7044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer |
| 225XP0019X Occupational Therapist Physical Rehabilitation | |
| 226300000X Kinesiotherapist | |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2015-01-22 |