| NPI | 1215000419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN LEILANI WOOD Manager Of LLC 941-358-5290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL MA19737) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |