| NPI | 1225468788 |
|---|---|
| Other Name | ANDY BLUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: OR 24741) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: CA 29391) |
| Enumeration Date | 2013-11-20 |
| Last Update Date | 2019-07-09 |