| NPI | 1275867004 |
|---|---|
| Doing Business As | BODY ENERGETICS |
| Entity Type | Organization |
| Authorized Contact | GREGORY HUGH WILDER President 910-695-1177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NC 893) |
| Enumeration Date | 2009-09-27 |
| Last Update Date | 2009-09-27 |