| NPI | 1295223352 |
|---|---|
| Former Name | PAIGE JANIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: NY 030461-1) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 030461-01) |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2023-10-30 |