| NPI | 1285025254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELISA ELLIS President 615-448-6446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: TN 7924) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TN 2840) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2016-09-09 |