| NPI | 1235590647 |
|---|---|
| Former Legal Business Name | ARBOR VITAE BODYWORK LLC |
| Entity Type | Organization |
| Authorized Contact | LOREN MAHAFFEY Owner/Therapist 340-998-1961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OR 19743) |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2016-03-11 |