| NPI | 1235929563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE JOHNSON Owner/Practioner 702-268-6488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| 174H00000X Health Educator | |
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2025-05-09 |
| Last Update Date | 2025-05-09 |