NPI | 1295170322 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225700000X Massage Therapist (Licence: CO MT.0001319) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: CO ACU.0002542) |
172M00000X Mechanotherapist (Licence: CO MT.0001319) | |
Enumeration Date | 2013-05-02 |
Last Update Date | 2025-09-08 |