NPI | 1184810160 |
---|---|
Doing Business As | BACK IN SHAPE MASSAGE THERAPY |
Entity Type | Organization |
Authorized Contact | JAMIE LYNN KONIDARE President 561-844-6777 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL HCC7029) |
Enumeration Date | 2007-09-24 |
Last Update Date | 2007-09-24 |