| NPI | 1245777564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGIA HEISSER Massage Therapist 832-849-8298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: TX MT126192) |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2017-01-24 |