| NPI | 1215484712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANNER JOSEF METZ Massage Therapist 970-531-6048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: MT LMT-LMT-LIC-7967) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |