| NPI | 1255130241 |
|---|---|
| Doing Business As | LIFE STAGE MASSAGE |
| Entity Type | Organization |
| Authorized Contact | MOLLIE BOLLERS SURKIN Director 917-549-9140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Enumeration Date | 2025-03-11 |
| Last Update Date | 2025-03-11 |