| NPI | 1255638300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLAINE RAYMOND Owner 850-224-0033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2011-02-24 |