| NPI | 1225824980 |
|---|---|
| Former Name | KYLARA ELLYN ROGERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: SC 7008) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NC 8275) |
| Enumeration Date | 2025-04-17 |
| Last Update Date | 2025-04-17 |