| NPI | 1194235580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH EUGENE FREY Loc/Massage Therapist 214-536-2955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TX MT112652) |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2017-10-11 |