| NPI | 1194989186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA ANNETTE DAVENPORT Owner 941-475-0020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MM21062) |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2008-07-18 |