| NPI | 1275806812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY A. CONRAD President 716-866-2826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 014646-1) |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2012-02-13 |