| NPI | 1255485652 |
|---|---|
| Professional Name | GLENDA BLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NM 3498) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: TX MT022683) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-08 |