| NPI | 1205635190 |
|---|---|
| Doing Business As | DETOXITY MEDISPA |
| Entity Type | Organization |
| Authorized Contact | WESLEY NAHM Managing Member 832-745-3320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 208VP0000X |
| 225700000X Massage Therapist | |
| Enumeration Date | 2025-03-12 |
| Last Update Date | 2025-03-12 |