| NPI | 1205618303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN WEAKS Owner / Registered Agent 832-217-9836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic |
| Enumeration Date | 2023-10-16 |
| Last Update Date | 2023-10-16 |