| NPI | 1225306723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JOSEPH SMITH Owner 954-603-1311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: FL AP152) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP1971) |
| 225700000X Massage Therapist (Licence: FL MA61412) | |
| 225700000X Massage Therapist (Licence: FL MA42873) | |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2011-12-12 |