| NPI | 1194319616 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ELISHA COLEMAN Surgical Assistant/ Massage Therapi 804-536-8539  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty | 
| Enumeration Date | 2021-02-24 | 
| Last Update Date | 2022-02-22 |