| NPI | 1235635467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD DAVID PEARSON Owner 212-779-5980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: NY 005252) |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2018-04-05 |