| NPI | 1194271452 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MI 7501006081) |
| Additional Taxonomies | 173C00000X Reflexologist (Licence: MI 452465135450) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2019-06-04 |