| NPI | 1306268420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE WILLIAMS Management 386-671-1661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: FL mm28224) |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2014-01-08 |